Individual
DIA GERDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 S 70TH ST, LINCOLN, NE 68510-2462
(402) 219-8000
Mailing address
555 S 70TH ST, LINCOLN, NE 68510-2462
(402) 219-8000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1013
SD
225X00000X
Occupational Therapist
Primary
2300
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861853186
—
NE
Enumeration date
03/14/2016
Last updated
03/31/2022
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