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1083003628
KELLY BEWLEY
OMAHA, NE
NPI
1083003628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: NE 1200)
Enumeration Date
2015-01-20
Last Update Date
2015-01-20
Business Address
-- KELLY BEWLEY PTA
10730 PACIFIC ST STE 210
OMAHA, NE 68114-4761
Phone number: 402-753-7230
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Mailing Address
-- KELLY BEWLEY PTA
720 BOULEVARD ST LOT 4
FREMONT, NE 68025-8652
Phone number: 402-277-0637
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