Individual
DIANE GLOEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2647 SKYLARK ST, FREMONT, NE 68025-6453
(402) 909-1776
Mailing address
2647 SKYLARK ST, FREMONT, NE 68025-6453
(402) 909-1776
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115
NE
Other
Enumeration date
01/24/2016
Last updated
01/24/2016
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