Vanessa Pine

NPI 1093050353 - Physical Therapist - 225100000X

NPI Details
NPI 1093050353
Gender Female
Enumeration Date 11/27/2012
Last Updated 11/27/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
11506 NICHOLAS ST
STE 110
OMAHA NE, 68154-4407, US
Phone (877) 230-3885
Fax (402) 505-9753
Business Location
2449 E WATERS EDGE DR
COLUMBIA CITY IN, 46725-8996, US
Phone (260) 609-8749
Fax
Toxanomy
Taxonomy Code 225100000X
License State Virginia
License Number 2305207479
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According to our database, Vanessa Pine NPI is 1093050353, taxonomy code is 225100000X and license number is 2305207479, license state is located at Virginia. Vanessa Pine physically located at 11506 Nicholas St, Omaha NE, 68154-4407. NPI Number Vanessa Pine has the Individual type.

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1093050353 NPI number is provided on an as is basis without warranty of any kind. 1093050353 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Pine are for informational purposes only.