Individual
MRS. BEVERLY J WIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16133 SAHLER ST, OMAHA, NE 68116-2991
(402) 659-6739
Mailing address
16133 SAHLER ST, OMAHA, NE 68116-2991
(402) 659-6739
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
54
NE
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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