Individual
JONATHAN MCQUISTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
701 GALVIN RD S, SUITE 112, BELLEVUE, NE 68005-2206
(402) 292-4000
(402) 292-4001
Mailing address
701 GALVIN RD S, SUITE 112, BELLEVUE, NE 68005-2206
(402) 292-4000
(402) 292-4001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3495
NE
Other
Enumeration date
07/29/2015
Last updated
08/02/2015
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