Individual
ETHAN DEYHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
3940 CORNHUSKER HWY STE 200, LINCOLN, NE 68504-1509
(402) 904-4474
Mailing address
4800 HOLDREGE ST APT 506, LINCOLN, NE 68504-3180
(224) 500-5462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2918
NE
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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