Individual
JENICA PAULETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
410 W 5TH ST, LOUISVILLE, NE 68037-6006
(402) 234-2125
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1528
NE
Other
Enumeration date
09/23/2018
Last updated
09/23/2018
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