Provider Demographics
NPI:1952337412
Name:NOWLING, JANALYN SUE (PT)
Entity Type:Individual
Prefix:MRS
First Name:JANALYN
Middle Name:SUE
Last Name:NOWLING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3121 S 117TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4543
Mailing Address - Country:US
Mailing Address - Phone:402-697-0524
Mailing Address - Fax:402-977-5613
Practice Address - Street 1:4101 WOOLWORTH AVE
Practice Address - Street 2:VETERAN'S AFFAIRS MEDICAL CENTER
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-1850
Practice Address - Country:US
Practice Address - Phone:402-346-8800
Practice Address - Fax:402-977-5613
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE912225100000X
IN05000771A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist