Individual
JENIFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1702 HILLCREST DR, BELLEVUE, NE 68005-3652
(402) 682-4210
Mailing address
19376 U ST, OMAHA, NE 68135-4244
(360) 265-0506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2756
NE
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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