Individual
JACLYN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2305 S 10TH ST, OMAHA, NE 68108-1108
(402) 345-5683
Mailing address
2305 S 10TH ST, OMAHA, NE 68108-1108
(402) 345-5683
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
901108
NE
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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