Individual
MRS. PAMELA J. PERAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., P.T.
Contact information
Practice address
3100 23RD ST, SUITE 15, COLUMBUS, NE 68601-3161
(402) 562-7346
(402) 562-8331
Mailing address
3157 39TH AVE., COLUMBUS, NE 68601
(402) 564-4091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1219
NE
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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