JACOB EVERETT ENGBERG

GRAND ISLAND, NE
NPI1427494632
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NE  1082)
Enumeration Date2013-05-14
Last Update Date2013-05-14
Business Address
Mr. JACOB EVERETT ENGBERG P.T.A
3015 W STOLLEY PARK RD APT 95
GRAND ISLAND, NE 68801-7238
Phone number: 402-984-8614
Mailing Address
Mr. JACOB EVERETT ENGBERG P.T.A
3015 W STOLLEY PARK RD APT 95
GRAND ISLAND, NE 68801
Phone number: 402-984-8614