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Individual

DESIRAE BROEKEMIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20800 W MAPLE RD, ELKHORN, NE 68022-5108
(402) 652-6775
Mailing address
10213 S 186TH AVE, OMAHA, NE 68136-6495

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2176
NE

Other

Enumeration date
02/07/2023
Last updated
02/07/2023
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