Individual
TAMARA BRACCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5321 S 138TH ST, OMAHA, NE 68137-2913
(402) 895-4000
(866) 895-8245
Mailing address
13336 INDUSTRIAL RD, SUITE 105, OMAHA, NE 68137-1124
(402) 330-3211
(402) 330-5970
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1196
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470654777
—
NE
Enumeration date
09/26/2012
Last updated
11/21/2018
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