Individual
JESSICA FLUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13609 CALIFORNIA ST STE 200, OMAHA, NE 68154-5245
(402) 891-1118
Mailing address
522 CHERRY ST, MARTINSBURG, PA 16662-1049
(814) 599-0680
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2640
OK
225200000X
Physical Therapy Assistant
Primary
3755
SC
225200000X
Physical Therapy Assistant
A4464
MD
225200000X
Physical Therapy Assistant
TE010877
PA
Other
Enumeration date
10/12/2016
Last updated
03/18/2019
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