Individual
MS. JACQUELYN L LIENEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
301 17TH ST, STANTON, NE 68779-2302
(402) 439-5719
(402) 439-5711
Mailing address
306 ASPEN DR, NORFOLK, NE 68701-6907
(402) 640-6034
(402) 439-5711
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
291
NE
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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