Individual
TAMMY JEAN CONSBRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
700 S HIGHWAY 6, GRETNA, NE 68028-7970
(402) 332-3446
Mailing address
20714 LOCUST ST, GRETNA, NE 68028-3526
(402) 502-9719
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1209
NE
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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