Individual
MR. SUSHMIT MAZUMDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA,OTR/L
Contact information
Practice address
4405 NORMAL BLVD, LINCOLN, NE 68506-5551
(402) 488-2355
Mailing address
6510 PONDEROSA CIR, LINCOLN, NE 68510-4149
(402) 219-3235
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
583
NE
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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