MR. Paul Gregory Elam, PTA

NPI #1861771099 in Omaha, Nebraska

Provider Information

NPI Number
1861771099
Entity Type
Individual
Name
MR. Paul Gregory Elam, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Skilled Nursing Facility
Credential
PTA
Enumeration Date
Aug 5, 2011
Last Updated
Aug 5, 2011

Practice Location

Address
4809 REDMAN AVE
City
Omaha
ZIP Code
68104-1842
Phone
(402) 455-5025

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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