Individual
JERA LYNN BOESELAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
825 CENTENNIAL DR, CHADRON, NE 69337-9400
(308) 432-0232
(308) 432-0268
Mailing address
825 CENTENNIAL DR, CHADRON, NE 69337-9400
(308) 432-0232
(308) 432-0268
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2920
NE
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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