Individual
BRANDON NEGLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11506 NICHOLAS STREET, SUITE 110, OMAHA, NE 68154
(877) 230-3885
(402) 505-9753
Mailing address
11506 NICHOLAS STREET, SUITE 110, OMAHA, NE 68154
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
005007
IA
225200000X
Physical Therapy Assistant
09030
OR
225200000X
Physical Therapy Assistant
Primary
1168
NE
225200000X
Physical Therapy Assistant
2306603505
VA
225200000X
Physical Therapy Assistant
3378
ID
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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