Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 978 | NE |
NPI | 1003269747 |
---|---|
Provider Name | Angie Marie Skiff |
First Address | Norfolk, NE 68701-2012 |
Second Address | Columbus, NE 68601-1480 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2016 |
Last Update Date | 18/07/2016 |