Fanny Bristol COTA

NPI 1003222530 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1003222530
Gender Female
Enumeration Date 07/03/2014
Last Updated 07/03/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
1016 E 6TH ST
ALLIANCE NE, 69301-3600, US
Phone (308) 762-9000
Business Location
PO BOX 313
ALLIANCE NE, 69301-0313, US
Phone (308) 258-7541
Taxonomy Code 224Z00000X
License State Nebraska
License Number 933
Remove 1003222530 NPI Number

According to our database, Fanny Bristol COTA NPI is 1003222530, taxonomy code is 224Z00000X and license number is 933, license state is located at Nebraska. Fanny Bristol COTA physically located at 1016 E 6th St, Alliance NE, 69301-3600. NPI Number Fanny Bristol COTA has the Individual type.

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1003222530 NPI number is provided on an as is basis without warranty of any kind. 1003222530 is maintained by the National Plan & Provider Enumeration System. The contents of Fanny Bristol COTA are for informational purposes only.