Individual
JILL N KORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6900 A ST, SUITE 102, LINCOLN, NE 68510-4120
(402) 436-2535
(402) 436-2541
Mailing address
5790 N 33RD ST, SUITE A, LINCOLN, NE 68504-4651
(402) 436-2992
(402) 436-2996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1517
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02396
BLUECROSS BLUESHIELD
NE
01
—
P00425344
MEDICARE (RAILROAD)
—
Enumeration date
07/17/2007
Last updated
11/16/2011
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