Individual
JAMIE THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
600 I ST, PAWNEE CITY, NE 68420-3001
(402) 852-2231
Mailing address
62648 710TH TRL, TABLE ROCK, NE 68447-3142
(402) 560-4989
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1754
NE
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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