Individual
JESSE COPENHARVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6809 N 68TH PLZ, OMAHA, NE 68152-2117
(402) 572-2134
Mailing address
6809 N 68TH PLZ, OMAHA, NE 68152-2117
(402) 572-2134
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1283
NE
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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