Individual
MRS. PAMELA JEAN KLAEBISCH
Active
Individual
MRS. PAMELA JEAN KLAEBISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
864
NE
225XP0019X
Physical Rehabilitation Occupational Therapist
864
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02056
BCBS NEBRASKA
NE
01
—
02425
BCBS NEBRASKA
NE
05
—
10025436800
—
NE
01
—
DF6645
RR MEDICARE
NE
01
—
P00838601
RR MEDICARE
NE
Enumeration date
07/30/2006
Last updated
03/07/2019
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