Individual
JEAN T DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4930 L ST, OMAHA, NE 68117-1553
(402) 731-8888
(402) 731-8090
Mailing address
4930 L ST, OMAHA, NE 68117-1553
(402) 731-8888
(402) 731-8090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
682
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39549
BLUE CROSS BLUE SHIELD
NE
05
—
47074908500
—
NE
Enumeration date
01/12/2007
Last updated
07/09/2007
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