KELLY NICOLE JACKSON

OMAHA, NE
NPI1033365002
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NE  NE733)
Enumeration Date2008-08-11
Last Update Date2008-08-11
Business Address
Miss KELLY NICOLE JACKSON PTA
2085 N 120TH ST SUITE D8
OMAHA, NE 68164-3479
Phone number: 402-445-4335
Mailing Address
Miss KELLY NICOLE JACKSON PTA
8464 ORCHARD AVE
OMAHA, NE 68127-2606
Phone number: 402-960-9964
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