Individual
SAMANTHA BEUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16350 POPPLETON AVE, OMAHA, NE 68130-1352
(402) 658-9401
Mailing address
1286 S 165TH AVE, OMAHA, NE 68130-1316
(402) 709-3351
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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