Individual
JAY STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4900 N 26TH ST STE 104, LINCOLN, NE 68521-4746
(402) 318-6299
Mailing address
1111 HUMPHREY AVE, LINCOLN, NE 68521-5858
(402) 318-6299
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1298
NE
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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