MEDICARE: JANET LEPAOPAO PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1357	NE

General Provider Information

NPI Number	:	1083092613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET LEPAOPAO PT

Provider Business Mailing Address
First Line	:	6835 S 137TH PLZ APT 612
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68137-4171
Country	:	US
Telephone Number	:	402-320-5066
Fax Number	:

Provider Business Practice Location Address
First Line	:	6835 S 137TH PLZ APT 612
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68137-4171
Country	:	US
Telephone Number	:	402-320-5066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2015
Last Update Date	:	05/14/2015

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Directions to “ JANET LEPAOPAO PT” Practice Location

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