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NPI Code Detail

MEDICARE: GABRIELLE MARIE MYERS

MEDICARE: GABRIELLE MARIE MYERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant

General Provider Information

NPI Number : 1457087389
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE MARIE MYERS
Provider Business Mailing Address
First Line : 235 S THOMSEN AVE
Second Line :
City : MINDEN
State : NE
Zip : 68959-2064
Country : US
Telephone Number : 732-278-1621
Fax Number :
Provider Business Practice Location Address
First Line : 4510 E 56TH ST
Second Line :
City : KEARNEY
State : NE
Zip : 68847-4118
Country : US
Telephone Number : 308-865-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2022
Last Update Date : 08/01/2022

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Directions to “ GABRIELLE MARIE MYERS ” Practice Location

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