Individual
JILL LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2707 L ST, ORD, NE 68862-1275
(308) 728-4355
Mailing address
47972 SPRINGDALE RD, ORD, NE 68862-5054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1683
NE
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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