Individual
NICOLE LYNN JELTEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 449-4244
Mailing address
6523 S 116TH ST, OMAHA, NE 68137-5720
(402) 991-2898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1825
NE
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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