Individual
JURGITA SICUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1540 N 72ND ST, OMAHA, NE 68114-1924
(402) 398-3958
Mailing address
711 N 91ST PLZ, APT# 6-204, OMAHA, NE 68114-2698
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2607
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47070762200
—
NE
Enumeration date
03/06/2008
Last updated
03/06/2008
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