MEDICARE: PAMELA ANN PIENING 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
1	225X00000X	Occupational Therapist	304	NE

General Provider Information

NPI Number	:	1730112194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA ANN PIENING OTR/L

Provider Business Mailing Address
First Line	:	11203 214TH ST
Second Line	:
City	:	GREENWOOD
State	:	NE
Zip	:	68366-2003
Country	:	US
Telephone Number	:	402-789-7910
Fax Number	:

Provider Business Practice Location Address
First Line	:	1502 SILVER ST
Second Line	:
City	:	ASHLAND
State	:	NE
Zip	:	68003-1848
Country	:	US
Telephone Number	:	402-944-2940
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	07/08/2007

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