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Individual

DAVE JECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.P.T.

Contact information

Practice address
2123 E 23RD AVE S, FREMONT, NE 68025-2498
(402) 721-1112
(402) 721-1113
Mailing address
2123 E 23RD AVE S, FREMONT, NE 68025-2498
(402) 721-1112

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1356
NE

Other

Enumeration date
08/14/2012
Last updated
08/14/2012
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