Most Relevant Information
Provider Data
| NPI Number: | 1003209099 |
| Provider Name: | CHRISTENA RUNOLFSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | P1 60516094 |
Most Important Dates
| Enumeration Date: | 03/15/2015 |
| Last Updated: | 03/15/2015 |
Provider Practice Location
11506 NICHOLAS ST
SUITE 110
OMAHA
NE
681544407
Practice Location Phone/Fax
| Phone: | 8772303885 |
| Fax: | 4025059753 |
Provider Mailing Location
11506 NICHOLAS ST
SUITE 110
OMAHA
NE
681544407
Provider Mailing Phone/Fax
| Phone: | 8772303885 |
| Fax: | 4025059753 |