Individual
STACI LUCETTA BORNSCHLEGL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4525 S 86TH ST, SUITE B, LINCOLN, NE 68526-9227
(402) 420-6694
Mailing address
3340 CANYON CT, LINCOLN, NE 68516-5748
(402) 420-6694
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2032
NE
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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