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Individual

MRS. PAMELA JEAN KLAEBISCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, CLT

Contact information

Practice address
7808 DAVENPORT ST, OMAHA, NE 68114
(402) 393-2294
(402) 393-2754
Mailing address
7808 DAVENPORT ST, OMAHA, NE 68114
(402) 393-2294
(402) 393-2754

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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