Organization
FULLY ALIVE OCCUPATIONAL THERAPY
Active
Other names
Fully Alive Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIE MINCHOW OT (OCCUPATIONAL THERAPY)
(308) 660-7867
Entity
Organization
Contact information
Practice address
1002 E PHILIP AVE, NORTH PLATTE, NE 69101-6104
(308) 532-4940
Mailing address
404 W F ST, NORTH PLATTE, NE 69101-5231
(308) 660-7867
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629549860
NPPES
NE
Enumeration date
12/18/2018
Last updated
12/18/2018
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