Individual
MRS. MEGAN JAIXEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 JEEMMDS AVE, LOUP CITY, NE 68853-6179
(308) 520-3913
Mailing address
100 JEEMMDS AVE, LOUP CITY, NE 68853-6179
(308) 520-3913
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
783
NE
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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