Individual
MATTHEW JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 E 13TH ST, BAYARD, NE 69334-8051
(308) 586-1142
Mailing address
2434 CORONADO CT, SIDNEY, NE 69162-2414
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3030
NE
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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