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MRS. BEVERLY VANDEVENDER PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
7228 BURT ST, OMAHA, NE 68114-3234
(402) 306-4028
Mailing address
7228 BURT ST, OMAHA, NE 68114-3234
(402) 291-3258

Taxonomy

Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
01422
IA
225XE0001X
Environmental Modification Occupational Therapist
Primary
646
NE

Other

Enumeration date
03/17/2019
Last updated
03/17/2019
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