Individual
STEPHANIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 HILLCREST DR STE B, BELLEVUE, NE 68005-3636
(402) 934-2282
Mailing address
1820 HILLCREST DR STE B, BELLEVUE, NE 68005-3636
(402) 934-2282
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1043
NE
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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