Healthcare Provider Details

I. General information

NPI: 1184906760
Provider Name (Legal Business Name): ALISON B BIERBOWER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALISON B CULLINAN

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 07/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5640 S 84TH ST STE 100
LINCOLN NE
68516-4475
US

IV. Provider business mailing address

5640 S 84TH ST STE 100
LINCOLN NE
68516-4475
US

V. Phone/Fax

Practice location:
  • Phone: 402-486-0602
  • Fax: 402-486-0604
Mailing address:
  • Phone: 308-289-3457
  • Fax: 402-486-0604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1580
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: