Individual
STACY THOENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
704 S 38TH AVE, OMAHA, NE 68105-0004
(402) 559-2643
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1337
NE
Other
Enumeration date
07/07/2008
Last updated
05/06/2020
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