Individual
THOMAS CHARLES GUTTERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
600 BROOKSTONE MEADOWS PLZ, ELKHORN, NE 68022-4401
(402) 289-2696
Mailing address
6049 WALNUT ST, OMAHA, NE 68106-2123
(402) 650-4346
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
094038
IA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1705
NE
Other
Enumeration date
11/18/2018
Last updated
11/18/2018
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