Individual
JACOB DANIEL O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20800 W MAPLE RD, ELKHORN, NE 68022-5108
(866) 748-3655
Mailing address
2671 N 97TH ST, OMAHA, NE 68134-5368
(402) 714-5621
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
NE
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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