Individual
JACQUELINE DEE PROBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1110 N 10TH ST, BOX 278, BEATRICE, NE 68310-2039
(402) 223-7309
Mailing address
1110 N 10TH ST, BOX 278, BEATRICE, NE 68310-2039
(402) 223-7309
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
35
NE
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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