Individual
JEANA MACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S 22ND ST, BEATRICE, NE 68310-3304
(402) 228-3304
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1005
NE
Other
Enumeration date
11/20/2016
Last updated
11/20/2016
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