Individual
SHARON PENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
985450 NEBRASKA MED CTR, OMAHA, NE 68198-5450
(402) 559-8943
Mailing address
985450 NEBRASKA MED CTR, OMAHA, NE 68198-5450
(402) 559-8943
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
813
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025291000
—
NE
Enumeration date
11/03/2006
Last updated
07/08/2007
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