Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 3350 | NE |
NPI | 1285042820 |
---|---|
Provider Name | Hannah Behrens |
First Address | Des Moines, IA 50317-5910 |
Second Address | Bellevue, NE 68005-3663 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2014 |
Last Update Date | 28/07/2014 |