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1174025399
THERESA STALEY
OMAHA, NE
NPI
1174025399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 1658)
Enumeration Date
2018-03-03
Last Update Date
2018-03-03
Business Address
MS. THERESA STALEY PTA
2525 S 135TH AVE
OMAHA, NE 68144-2424
Phone number: 402-333-2304
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Mailing Address
MS. THERESA STALEY PTA
11606 DAVENPORT PLZ APT 15
OMAHA, NE 68154-2548
Phone number: 402-613-3048
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