Individual
TARA L DELZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(402) 334-1919
Mailing address
302 TOWER ST, HERREID, SD 57632
(605) 850-3940
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000825
IA
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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