Individual
DR. JILL S HEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
17600 ARBOR ST, OMAHA, NE 68130-4682
(402) 717-0210
Mailing address
17600 ARBOR ST, OMAHA, NE 68130-4682
(402) 717-0210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2696
NE
225100000X
Physical Therapist
4310
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2696
STATE LICENSE
NE
01
—
4310
IOWA STATE PHYSICAL THERAPY LICENSE
IA
Enumeration date
07/22/2008
Last updated
12/12/2015
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