Individual
JENNIFER M BRUURSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
18101 R PLAZA, SUITE 106, OMAHA, NE 68135-1929
(402) 933-8333
(402) 933-4755
Mailing address
18101 R PLAZA, SUITE 106, OMAHA, NE 68135-1929
(402) 933-8333
(402) 933-4755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2964
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025395000
—
NE
Enumeration date
04/22/2011
Last updated
05/23/2016
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