Individual
JADE MICHELLE PROCHASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1400 MARK DR, WAHOO, NE 68066-4023
(402) 443-3737
Mailing address
13168 V RD, SHELBY, NE 68662-5606
(402) 367-9719
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2598
NE
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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