DAVID PHILLIP CAMACHO

GRAND ISLAND, NE
NPI1780042283
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NE  1435)
Enumeration Date2016-01-29
Last Update Date2016-01-29
Business Address
-- DAVID PHILLIP CAMACHO PTA
2300 W CAPITAL AVE
GRAND ISLAND, NE 68803-2003
Phone number: 308-385-6252
Mailing Address
-- DAVID PHILLIP CAMACHO PTA
2115 W 10TH ST
GRAND ISLAND, NE 68803-3611
Phone number: 308-268-3157