Individual
SARA MICHELLE DANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 N SPRUCE ST, OGALLALA, NE 69153-3307
(308) 284-4068
Mailing address
204 BATES BLVD, LODGEPOLE, NE 69149-5052
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2572
NE
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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