Individual
LINDA E JANECZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
506 WINDSOR DR, PAPILLION, NE 68046-4154
(402) 339-8705
(402) 339-3157
Mailing address
506 WINDSOR DR, PAPILLION, NE 68046-4154
(402) 339-8705
(402) 339-3157
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
747
NE
2251P0200X
Pediatric Physical Therapist
927
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09111
BC BS OF NEBRASKA
NE
05
—
47-071456700
—
NE
Enumeration date
01/31/2007
Last updated
07/08/2007
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