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Individual

ASHLEY BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1540 N 72ND ST, OMAHA, NE 68114-1924
(402) 398-3958
Mailing address
1540 N 72ND ST, OMAHA, NE 68114-1924
(402) 398-3958

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2568
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47-0707622-00
NE
05
47-0707622-01
NE
Enumeration date
07/13/2007
Last updated
07/13/2007
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