Individual
DESLIE ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 N 56TH ST, LINCOLN, NE 68504-3519
(402) 467-0116
Mailing address
4340 J ST, LINCOLN, NE 68510-3631
(402) 467-0116
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1777
NE
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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