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Individual

MADELINE PAWLOSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-3980
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-6346

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
NE
Enumeration date
07/31/2014
Last updated
03/12/2021
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