Individual
SARA MARIE HEUSINKVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 N 8TH ST, LOUP CITY, NE 68853-8215
(308) 745-0352
Mailing address
1479 9TH AVE, DANNEBROG, NE 68831-3503
(308) 750-2406
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
NE
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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