Individual
SHAY VERONICA VANDERLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
414 N WILLSON ST, BLUE HILL, NE 68930-3507
(402) 705-9908
Mailing address
3212 PARK LANE DR, HASTINGS, NE 68901-3334
(402) 705-9908
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
798
NE
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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