Individual
MICHELLE SIERRA JOHANNESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1301 E H ST, MC COOK, NE 69001-3482
(308) 344-8383
Mailing address
2810 W 35TH ST, STE 2, KEARNEY, NE 68845-2909
(308) 237-7388
(308) 237-7394
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1278
NE
Other
Enumeration date
10/23/2007
Last updated
11/19/2014
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