Individual
JOCELYN J BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1540 N 72ND ST, OMAHA, NE 68114-1924
(402) 395-6500
Mailing address
4980 S 156TH AVENUE CIR, OMAHA, NE 68135-1009
(402) 305-0551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1068
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47070762200
—
NE
05
—
47070762201
—
NE
Enumeration date
02/21/2007
Last updated
07/08/2007
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