Taran Pottebaum
Occupational Therapist
9401 Andermatt Dr
Lincoln
, Nebraska 68526-9507
Taran Pottebaum
Occupational Therapist
9401 Andermatt Dr
Lincoln
, Nebraska 68526-9507
(319) 560-7180
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Taran Pottebaum
- 5214 S 156th Ct Apt 240
- Omaha, NE
- Zip : 68135-6446
- Phone : (319) 560-7180
Second Address
- Taran Pottebaum
- 9401 Andermatt Dr
- Lincoln, NE
- Zip : 68526-9507
- Phone : (402) 327-6300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2568 | NE |
National Provider Identifier
| NPI | 1003487307 |
|---|---|
| Provider Name | Taran Pottebaum |
| First Address | Omaha, NE 68135-6446 |
| Second Address | Lincoln, NE 68526-9507 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2021 |
| Last Update Date | 07/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.