Individual
MRS. JUNE FRANCES SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
16923 M CIR, OMAHA, NE 68135-1442
(402) 895-5636
(402) 895-5636
Mailing address
16923 M CIR, OMAHA, NE 68135-1442
(402) 895-5636
(402) 895-5636
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
325
NE
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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