Individual
BECKY KOUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COAT/L
Contact information
Practice address
12568 S 82ND ST, PAPILLION, NE 68046-4417
(402) 350-0101
Mailing address
12568 S 82ND ST, PAPILLION, NE 68046-4417
(402) 350-0101
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
721
NE
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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