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Individual

MRS. JENNIFER LYNN GODDARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1905
Mailing address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1905

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2375
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025409200
NE
Enumeration date
10/23/2006
Last updated
09/02/2015
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