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Individual

ALYSSA BRIANNE ROUSSEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
900 W COURT ST, BEATRICE, NE 68310-3526
(402) 223-5277
Mailing address
3248 STARR ST, LINCOLN, NE 68503-1997
(402) 525-2791

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2357
NE
225XP0200X
Pediatric Occupational Therapist
Primary
2357
NE

Other

Enumeration date
07/24/2019
Last updated
07/24/2019
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