SHANNA LEA POGUE

OMAHA, NE
NPI1104485168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NE  NE151)
Enumeration Date2019-06-12
Last Update Date2019-06-12
Business Address
MRS. SHANNA LEA POGUE PTA
4330 S 144TH ST
OMAHA, NE 68137-1051
Phone number: 402-614-4000
Mailing Address
MRS. SHANNA LEA POGUE PTA
19156 W ST
OMAHA, NE 68135-4298
Phone number: 402-203-7743