Individual
JENNIFER N SUVERKRUBBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
323 S 132ND ST, OMAHA, NE 68154-2106
(402) 334-6535
Mailing address
11420 SPRING DR, BLAIR, NE 68008-6259
(402) 660-2027
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1031
NE
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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