Individual
MS. CAROLYN MARIE SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3972 S 36TH AVE, OMAHA, NE 68107-1334
(402) 734-7227
Mailing address
3972 S 36TH AVE, OMAHA, NE 68107-1334
(402) 734-7227
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001546
IA
225200000X
Physical Therapy Assistant
997
NE
Other
Enumeration date
03/20/2011
Last updated
03/20/2011
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