PETER WIDHALM

OMAHA, NE
NPI1689180770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NE  1184)
Enumeration Date2017-12-27
Last Update Date2018-03-17
Business Address
PETER WIDHALM PTA
2900 F ST
OMAHA, NE 68107-1533
Phone number: 402-731-7990
Mailing Address
PETER WIDHALM PTA
3401 MARTHA ST APT 11E
OMAHA, NE 68105-3168
Phone number: 631-871-2593
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