Individual
LISA THUY SOLACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT/L
Contact information
Practice address
3004 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4109
(308) 675-1853
(308) 210-4121
Mailing address
PO BOX 5285, GRAND ISLAND, NE 68802-5285
(308) 675-1853
(308) 210-4121
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2144
NE
Other
Enumeration date
08/15/2017
Last updated
06/22/2022
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