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Jennifer Memolo, PTA

NPI 1831478072 · on the registry since 2011

Practice

Address
1507 E Gold Coast Rd
Papillion, NE 68046
Phone
(402) 339-6010
Organisation at this address
Hillcrest Shadow Lake Llc
Hillcrest Shadow Lake, Llc
Huntington Park Care Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska