Individual
TANYA GRUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1001 SOUTH ST, LINCOLN, NE 68502-2251
(402) 441-7101
Mailing address
4816 33RD ST, COLUMBUS, NE 68601-1506
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
785
NE
Other
Enumeration date
03/01/2007
Last updated
04/14/2009
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