Provider Demographics
NPI:1316218274
Name:FURZE, JENNIFER A (PT, DPT, PCS)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:FURZE
Suffix:
Gender:F
Credentials:PT, DPT, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF PHYSICAL THERAPY
Mailing Address - Street 2:2500 CALIFORNIA PLAZA
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68178-0001
Mailing Address - Country:US
Mailing Address - Phone:402-280-4835
Mailing Address - Fax:402-280-5692
Practice Address - Street 1:16910 FRANCES ST
Practice Address - Street 2:SUITE 102
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2399
Practice Address - Country:US
Practice Address - Phone:402-932-3355
Practice Address - Fax:402-932-3370
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1736225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist