TIFFANY ANN PETERSON

OMAHA, NE
NPI1902162886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NE  1058)
Enumeration Date2012-04-05
Last Update Date2012-04-05
Business Address
-- TIFFANY ANN PETERSON PTA
13609 CALIFORNIA ST
OMAHA, NE 68154-5260
Phone number: 402-891-1118
Mailing Address
-- TIFFANY ANN PETERSON PTA
PO BOX 173
LYONS, NE 68038-0173
Phone number: 402-380-8468
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