Individual
MRS. ALISHA LEE ETTLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1314 3RD AVE, NEBRASKA CITY, NE 68410-1930
(402) 873-8918
Mailing address
1314 3RD AVE, NEBRASKA CITY, NE 68410-1930
(402) 873-8918
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
769
NE
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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