Individual
SAMANTHA ROSE REZAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 BROOKSTONE MEADOWS PLZ, ELKHORN, NE 68022-4401
(402) 289-2696
Mailing address
307 GLADYS AVE, YUTAN, NE 68073-3014
(402) 430-2005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
901210
NE
Other
Enumeration date
08/16/2021
Last updated
08/26/2021
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