Individual
MRS. STEPHANIE ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10791 S 72ND ST, SUTIE C, PAPILLION, NE 68046-3423
(402) 932-2782
Mailing address
10791 S 72ND ST, SUTIE C, PAPILLION, NE 68046-3423
(402) 932-2782
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3614784201
UT
225XP0200X
Pediatric Occupational Therapist
Primary
1257
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1257
NEBRASKA STATE LICENSE
NE
01
—
3614784201
UTAH STATE LICENSE
UT
Enumeration date
08/05/2006
Last updated
03/21/2008
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