Individual
MS. JESSICA E WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1230 ARIES DR STE D, LINCOLN, NE 68512-9615
(402) 434-5895
(402) 434-5899
Mailing address
PO BOX 5285, GRAND ISLAND, NE 68802-5285
(308) 382-0344
(308) 382-3241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3252
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025493600
—
NE
Enumeration date
07/31/2013
Last updated
10/16/2019
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