Individual
CHRISTINA WINNIE COULTHARD-CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 E 7TH ST, VALENTINE, NE 69201-2247
(402) 340-0271
Mailing address
230 E 7TH ST, VALENTINE, NE 69201-2247
(402) 340-0271
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
434
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
434
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES-LICENSURE UNIT
NE
01
—
951364
NEBRASKA DEPARTMENT OF EDUCATION-SERVICE AGENCY ID
NE
Enumeration date
05/31/2018
Last updated
05/31/2018
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