SearchNebraska2255A2300X

Samantha Wilson, ATC

NPI 1407393143 · on the registry since 2017 · sole proprietor

Practice

Address
1900 Broadmoore Drive
Lincoln, NE 68506
Phone
(507) 951-3128

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska