Individual
DAMON OPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
4405 NORMAL BLVD, LINCOLN, NE 68506-5551
(402) 484-4512
Mailing address
4405 NORMAL BLVD, LINCOLN, NE 68506-5551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1348
NE
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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