Countryman, Diane

Countryman, Diane is an individual health care provider with primary practice located at 1003 Mercer Blvd , Omaha NE 68131-1216. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Countryman, Diane can be contacted via phone (402) 212-1629.

Contact Information

Primary practice address
1003 Mercer Blvd Omaha NE 68131-1216
Phone: (402) 212-1629
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 995 Nebraska

Profile Details

NPI number 1134464902
LBN Legal business name Countryman, Diane
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2012
Last updated Dec 5th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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