Individual
JESSICA JULIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
913 11TH ST SE, BANDON, OR 97411-9168
(435) 650-5735
Mailing address
11808 GRANT ST, OMAHA, NE 68164-3613
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
62317
OR
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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