Individual
TAEH THORSTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 S 72ND ST APT 118, LINCOLN, NE 68506-3754
(605) 848-0400
Mailing address
3110 S 72ND ST APT 118, LINCOLN, NE 68506-3754
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1551
NE
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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