Individual
CASSIDY JO BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 H ST, FAIRBURY, NE 68352-1119
(402) 729-6840
Mailing address
PO BOX 177, BRUNING, NE 68322-0177
(402) 705-0869
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2385
NE
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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