Individual
JACQULYNN SALEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 LEVI LN, ADAMS, NE 68301-8830
(402) 988-7115
Mailing address
200 LEVI LN, ADAMS, NE 68301-8830
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2161
NE
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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