Individual
HEATHER LYNN PROBASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1325 H ST, GENEVA, NE 68361-2124
(402) 759-3167
Mailing address
231 N 14TH ST, GENEVA, NE 68361-1515
(402) 366-0081
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1305
NE
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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