Individual
JENNY ROTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3004 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4109
(308) 398-5170
(308) 398-5175
Mailing address
3004 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4109
(308) 398-5170
(308) 398-5175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3001
NE
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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