Individual
MICHELLE CIRCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6062 GRAND LODGE AVE, PAPILLION, NE 68133-3200
(402) 885-7474
Mailing address
6062 GRAND LODGE AVE, PAPILLION, NE 68133-3200
(402) 885-7474
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
312
NE
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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