DIANE COUNTRYMAN

OMAHA, NE
NPI1134464902
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NE  995)
Enumeration Date2012-12-05
Last Update Date2012-12-05
Business Address
Ms. DIANE COUNTRYMAN PTA
1003 MERCER BLVD
OMAHA, NE 68131-1216
Phone number: 402-212-1629
Mailing Address
Ms. DIANE COUNTRYMAN PTA
1003 MERCER BLVD
OMAHA, NE 68131-1216
Phone number: