Individual
JARROD VILLAFUERTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4155 P ST, OMAHA, NE 68107-2456
(402) 637-6010
Mailing address
4155 P ST, OMAHA, NE 68107-2456
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2096
NE
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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