Individual
JULIUS LUY TEANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3112 ANTELOPE AVE, KEARNEY, NE 68847-9781
(308) 338-9238
(308) 338-9208
Mailing address
123 E 14TH ST, HASTINGS, NE 68901-3101
(402) 463-0148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1192
NE
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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