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Individual

JILL ANN GLOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
22117 STANFORD CIR, ELKHORN, NE 68022-2272
(402) 250-3789
Mailing address
22117 STANFORD CIR, ELKHORN, NE 68022-2272
(402) 250-3789

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
694
NE
3747P1801X
Personal Care Attendant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1
NE
05
47070762200
NE
Enumeration date
02/06/2007
Last updated
01/22/2025
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