Organization
FULLY ALIVE OCCUPATIONAL THERAPY
Active
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
Update your record
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