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NPI Code Detail

MEDICARE: SHAYLA BARTAK OTR/L

MEDICARE: SHAYLA BARTAK OTR/L
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
1225X00000XOccupational Therapist1583NE

General Provider Information

NPI Number : 1366703803
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYLA BARTAK OTR/L
Provider Business Mailing Address
First Line : 6250 CORNFLOWER DR
Second Line :
City : LINCOLN
State : NE
Zip : 68504-4613
Country : US
Telephone Number : 402-340-5262
Fax Number :
Provider Business Practice Location Address
First Line : 20800 W MAPLE RD
Second Line :
City : ELKHORN
State : NE
Zip : 68022-5108
Country : US
Telephone Number : 402-340-5262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2012
Last Update Date : 10/22/2019

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Directions to “ SHAYLA BARTAK OTR/L” Practice Location

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