Individual
STACY TWEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2720 17TH AVE, CENTRAL CITY, NE 68826-9614
(308) 946-3088
Mailing address
2720 17TH AVE, CENTRAL CITY, NE 68826-9614
(308) 946-3088
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
799
NE
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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