Individual
PENNI JO ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., M.S
Contact information
Practice address
3460 PINEY CREEK DR, ELKHORN, NE 68022-4420
(402) 289-0053
Mailing address
3460 PINEY CREEK DR, ELKHORN, NE 68022-4420
(402) 289-0053
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
620
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025210600
—
NE
Enumeration date
04/09/2007
Last updated
02/21/2014
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