Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 2305204016 | VA |
NPI | 1003088717 |
---|---|
Provider Name | Ms. Mary Elizabeth Neary |
First Address | Omaha, NE 68154-5260 |
Second Address | Omaha, NE 68154-5260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2008 |
Last Update Date | 02/04/2008 |