NPI 1649573676

Fred Antczak

Practitioner Orthotist Omaha, NE

Practice location

Address: 17931 Pierce Plz, Omaha, NE 68130-2654
Phone: (402) 933-1393
Fax: (402) 933-1899

Registered specialties (3)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 2255 (VA)

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Pedorthist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence 0675 (VA)

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Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence 2255 (VA)

Other Orthotic Fitter providers in Nebraska →

Registry record

NPI: 1649573676
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Dec 2010
Record last updated: 14 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.