Individual
MRS. STACI L HASKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3814 APPALOOSA DR, ELKHORN, NE 68022-1016
(402) 250-7028
Mailing address
3814 APPALOOSA DR, ELKHORN, NE 68022-1016
(402) 250-7028
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
302
NE
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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