Provider Demographics
NPI:1770781460
Name:HARRINGTON, JOLYNE A (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:JOLYNE
Middle Name:A
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16957 POLK ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68135-3163
Mailing Address - Country:US
Mailing Address - Phone:402-612-6598
Mailing Address - Fax:402-884-9651
Practice Address - Street 1:10300 W 103RD ST SUITE 300
Practice Address - Street 2:QUANTUM HEALTH PROFESSIONALS
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214
Practice Address - Country:US
Practice Address - Phone:913-894-1910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE286225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE286OtherPHYSICAL THERAPY LICENSE