Individual
JENNA ROSE ENGELKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
610 S POLK ST, PAPILLION, NE 68046-2548
(140) 233-9770
Mailing address
610 S POLK ST, PAPILLION, NE 68046-2548
(140) 233-9770
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1454
NE
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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