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Individual

MRS. SUZANNE MARY ALMQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1540 N 72ND ST, OMAHA, NE 68114-1924
(402) 398-3958
Mailing address
9164 SPRAGUE ST, OMAHA, NE 68134-4053
(402) 558-7203

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
01045
IA
225X00000X
Occupational Therapist
Primary
812
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00436
BLUE CROSS & BLUE SHEILD
NE
05
0659987
IA
05
47-0707622-00
NE
05
47-0707622-01
NE
Enumeration date
03/28/2007
Last updated
07/09/2007
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