Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 586 | NE |
NPI | 1447538772 |
---|---|
Provider Name | Heidi Sue Bitney |
First Address | Neligh, NE 68756-2063 |
Second Address | Neligh, NE 68756-2063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2011 |
Last Update Date | 03/08/2011 |