Individual
MS. DANIELLE DETOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
3211 LAKE PARK LN, HASTINGS, NE 68901-2546
(402) 984-3562
Mailing address
3211 LAKE PARK LN, HASTINGS, NE 68901-2546
(402) 984-3562
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16901
CA
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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