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Individual

CHRISTINE R MONESTERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
4930 L ST, OMAHA, NE 68117-1553
(402) 731-8888
(402) 731-8090
Mailing address
4930 L ST, OMAHA, NE 68117-1553
(402) 731-8888
(402) 731-8090

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
181
NE
225X00000X
Occupational Therapist
473
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0905984
IOWA MEDICAID
IA
05
47074908513
NE
01
8728
BLUE CROSS BLUE SHIELD
NE
Enumeration date
01/12/2007
Last updated
07/09/2007
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