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NPI Code Detail

MEDICARE: SARA MARIE HEUSINKVELT

MEDICARE: SARA MARIE HEUSINKVELT
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 AssistantNE

General Provider Information

NPI Number : 1043871981
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA MARIE HEUSINKVELT
Provider Business Mailing Address
First Line : 1479 9TH AVE
Second Line :
City : DANNEBROG
State : NE
Zip : 68831-3503
Country : US
Telephone Number : 308-750-2406
Fax Number :
Provider Business Practice Location Address
First Line : 1005 N 8TH ST
Second Line :
City : LOUP CITY
State : NE
Zip : 68853-8215
Country : US
Telephone Number : 308-745-0352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2019
Last Update Date : 06/21/2019

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Directions to “ SARA MARIE HEUSINKVELT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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