Individual
MRS. JORDAN BRIANN LOTKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
313 E 12TH ST, COZAD, NE 69130-1506
(308) 784-2231
(308) 784-3449
Mailing address
76445 ROAD 425, COZAD, NE 69130-5300
(308) 991-7551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1467
NE
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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