STACEY JO CHUDOMELKA

OSHKOSH, NE
NPI1780017921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NE  1209)
Enumeration Date2013-08-12
Last Update Date2013-08-12
Business Address
Miss STACEY JO CHUDOMELKA PTA
1100 W 2ND ST
OSHKOSH, NE 69154-6152
Phone number: 308-772-3283
Mailing Address
Miss STACEY JO CHUDOMELKA PTA
PO BOX 373
OSHKOSH, NE 69154-0373
Phone number: 402-598-4259