Individual
ADAM MAILANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6900 A ST, SUITE 102, LINCOLN, NE 68510-4120
(402) 436-2535
(402) 436-2541
Mailing address
5790 N 33RD ST, SUITE A, LINCOLN, NE 68504-4651
(402) 436-2992
(402) 436-2996
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119004048
LICENSE #
VA
01
—
1319
LICENSE
NE
01
—
39777
BCBS
NE
Enumeration date
08/30/2006
Last updated
11/16/2011
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