DANIEL BROCKEVELT

LOUISVILLE, NE
NPI1952851420
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NE  1412)
Enumeration Date2016-10-09
Last Update Date2016-10-09
Business Address
-- DANIEL BROCKEVELT
410 W 5TH ST
LOUISVILLE, NE 68037-6006
Phone number: 402-234-2125
Mailing Address
-- DANIEL BROCKEVELT
6226 S 194TH AVE
OMAHA, NE 68135-3723
Phone number: 402-216-9478
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