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Individual

REINA I SEBASTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
923 W 7TH ST, GRAND ISLAND, NE 68801-4101
(402) 840-0919
Mailing address
923 W 7TH ST, GRAND ISLAND, NE 68801-4101
(402) 840-0919

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122279
TX
225X00000X
Occupational Therapist
2618
NE

Other

Enumeration date
06/17/2021
Last updated
02/16/2022
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