Individual
REANNON T COUNTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6101 VILLAGE DR STE 100, LINCOLN, NE 68516-5830
(402) 484-7117
(402) 484-7118
Mailing address
1651 N 86TH ST STE 100, LINCOLN, NE 68505-3719
(402) 484-7117
(402) 484-7118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3010
NE
Other
Enumeration date
07/09/2025
Last updated
01/02/2026
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