Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 1313 | NE |
NPI | 1386975779 |
---|---|
Provider Name | Rose M Ryba |
First Address | Papillion, NE 68133-3214 |
Second Address | Papillion, NE 68133-3214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2010 |
Last Update Date | 25/01/2010 |