Healthcare Provider Details

I. General information

NPI: 1891058020
Provider Name (Legal Business Name): ERINN SCHELLEN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 06/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 N 2ND ST
NEWMAN GROVE NE
68758-6017
US

IV. Provider business mailing address

109 N 2ND ST
NEWMAN GROVE NE
68758-6017
US

V. Phone/Fax

Practice location:
  • Phone: 402-447-6203
  • Fax: 402-447-9446
Mailing address:
  • Phone: 402-447-6203
  • Fax: 402-447-9446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1577
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: