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NPI Code Detail

MEDICARE: TARA WEISHAHN

MEDICARE: TARA WEISHAHN
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 Therapist2149NE

General Provider Information

NPI Number : 1790418309
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA WEISHAHN
Provider Business Mailing Address
First Line : 6506 SUNDANCE CT
Second Line :
City : LINCOLN
State : NE
Zip : 68512-2346
Country : US
Telephone Number : 402-520-1694
Fax Number :
Provider Business Practice Location Address
First Line : 1750 S 20TH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68502-2611
Country : US
Telephone Number : 402-475-6791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2022
Last Update Date : 07/01/2022

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Directions to “ TARA WEISHAHN ” Practice Location

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