Individual
JESSICA DARLENE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1445 NORTH BELL ST., FREMONT, NE 68025
(402) 512-3893
Mailing address
1445 NORTH BELL ST., FREMONT, NE 68025
(402) 512-3893
(402) 509-3103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10866
MN
225100000X
Physical Therapist
3869
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA3171004
—
NE
Enumeration date
08/23/2017
Last updated
10/18/2022
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