Individual
MISS SARA L WONDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2525 S 135TH AVE, OMAHA, NE 68144-2424
(402) 333-2304
Mailing address
2525 S 135TH AVE, OMAHA, NE 68144-2424
(402) 333-2304
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
981
NE
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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