Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 259 | NE |
NPI | 1497112379 |
---|---|
Provider Name | Debra Jean Schoneweis |
First Address | Omaha, NE 68135-2876 |
Second Address | Papillion, NE 68046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2016 |
Last Update Date | 22/01/2016 |