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Organization

AGEWISE THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON RENAE RUZICKA OTR/L (OWNER)
(402) 310-9505
Entity
Organization

Contact information

Practice address
50 TALL GRASS CIR, BENNET, NE 68317-2411
(402) 310-9505
Mailing address
50 TALL GRASS CIR, BENNET, NE 68317-2411
(402) 310-9505

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
07/07/2025
Last updated
07/07/2025
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