Individual provider · Type 1 NPI
Jera Lynn Boeselager, PT
Pediatric Physical Therapist · Chadron, NE
Practice location
825 Centennial Dr
Chadron, NE 69337-9400
Fax (308) 432-0268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 2920 (NE) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1962955443
Jera Lynn Boeselager, PT's National Provider Identifier is 1962955443, issued on Aug 1, 2016. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Chadron, NE. The record was last updated on Aug 1, 2016.