JACOB EUGENE LAVILLE

OMAHA, NE
NPI1487517975
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NE  4875)
Enumeration Date2025-12-03
Last Update Date2025-12-03
Business Address
JACOB EUGENE LAVILLE
1313 S SADDLE CREEK RD
OMAHA, NE 68106-2402
Phone number: 402-933-0100
Mailing Address
JACOB EUGENE LAVILLE
1313 S SADDLE CREEK RD
OMAHA, NE 68106-2402
Phone number: 402-933-0100