Individual
JESSICA WISSINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2275 SOUTH 132ND ST, OMAHA, NE 68144
(402) 333-0539
Mailing address
335 LAKEHURST DR, WATERLOO, NE 68069-9787
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2402
NE
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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