Individual
JESSICA PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2954 N PARK LN, COLUMBUS, NE 68601-1845
(308) 440-1869
Mailing address
2954 N PARK LN, COLUMBUS, NE 68601-1845
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1605
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1605
OCCUPATIONAL THERAPY LISCENCE
NE
Enumeration date
10/29/2012
Last updated
10/29/2012
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