Individual
JACQUELINE JEAN WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(402) 334-6064
(402) 334-6080
Mailing address
61 CUNA WAY, RED FEATHER LAKES, CO 80545-8847
(970) 481-7886
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
416
CO
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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