Individual
MRS. JESSICA M NIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 449-4244
(402) 449-5852
Mailing address
11692 SUNBURST ST, OMAHA, NE 68164-2245
(402) 505-4498
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
488
NE
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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