Individual
MAKAYLA GLADMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 S 135TH AVE, OMAHA, NE 68144-2424
(402) 333-2304
Mailing address
2465 S 3RD STREET PLZ, OMAHA, NE 68108-1707
(712) 370-2526
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1949
NE
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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