Individual
JACOB EUGENE LAVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1313 S SADDLE CREEK RD, OMAHA, NE 68106-2402
(402) 933-0100
Mailing address
1313 S SADDLE CREEK RD, OMAHA, NE 68106-2402
(402) 933-0100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4875
NE
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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