Individual
DOUGLAS MICHAEL NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8601 FIRETHORN LANE, LINCOLN, NE 68520
(402) 682-6825
Mailing address
2901 MARK AVE, LINCOLN, NE 68502-5938
(402) 580-2021
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1013
NE
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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