Individual
MRS. JENNA LEIGH GRAEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7040 S 114TH ST PLZ APT 203, LA VISTA, NE 68128
(402) 960-1506
Mailing address
7040 S 114TH ST PLZ APT 203, LA VISTA, NE 68128
(402) 960-1506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3217
NE
225100000X
Physical Therapist
8554467-2401
UT
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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