Individual
STEFANIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1100 N ST, NELIGH, NE 68756-1056
(402) 887-5428
Mailing address
51704 872 RD, ORCHARD, NE 68764-6416
(402) 640-1083
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1071
NE
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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