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JESSICA FULLNER PT, DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1932577046

Individual Registrant:
 JESSICA  FULLNER PT, DPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1301 GRUNDMAN BLVD  NEBRASKA CITY, NE 68410-3319 US
Tel: 402-873-8918  Fax: --

Contact information for business:
1103 SCENIC DR  NEBRASKA CITY, NE 68410-1456 US
Tel: 402-677-0646  Fax: --

Registration Information:
NPI: 1932577046
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
NE3500

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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