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Individual

MR. JEREMIAH J JOHNSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
929 S LOCUST ST, GRAND ISLAND, NE 68801-6751
(308) 382-9700
(308) 382-9898
Mailing address
929 S LOCUST ST., GRAND ISLAND, NE 68801
(308) 382-9700
(308) 382-9898

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2415
NE

Other

Enumeration date
01/23/2006
Last updated
12/19/2023
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