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NPI Code Detail

MEDICARE: MISS MARCIE A MINCHOW OT

MEDICARE: MISS MARCIE A MINCHOW OT
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 Therapist1803NE

General Provider Information

NPI Number : 1629549860
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MARCIE A MINCHOW OT
Provider Business Mailing Address
First Line : 404 W F ST
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69101-5231
Country : US
Telephone Number : 308-660-7867
Fax Number :
Provider Business Practice Location Address
First Line : 1002 E PHILIP AVE
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69101-6104
Country : US
Telephone Number : 308-532-4940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2018
Last Update Date : 12/16/2018

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Directions to “ MISS MARCIE A MINCHOW OT” Practice Location

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