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1669952404
PETRA UPSHAW
OMAHA, NE
NPI
1669952404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA.06794)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
PETRA UPSHAW
11808 GRANT ST FL 100
OMAHA, NE 68164-3616
Phone number: 877-230-3885
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Mailing Address
PETRA UPSHAW
11808 GRANT ST FL 100
OMAHA, NE 68164-3616
Phone number: 877-230-3885
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