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FULLY ALIVE OCCUPATIONAL THERAPY NPI 1003388802


NPI Information

NPI: 1003388802
Provider Name: FULLY ALIVE OCCUPATIONAL THERAPY
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1002 E PHILIP AVE
NORTH PLATTE, NE
ZIP 69101
Phone: (308) 532-4940
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FULLY ALIVE OCCUPATIONAL THERAPY is a clinic center in North Platte, NE. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FULLY ALIVE OCCUPATIONAL THERAPY NPI is 1003388802. The provider is registered as an organization entity type.

The provider's business location address is:

1002 E PHILIP AVE
NORTH PLATTE, NE
ZIP 69101-104
Phone: (308) 532-4940

The provider's authorized official is Marcie Minchow .
The authorized official title is Occupational Therapy and has the following contact phone number (308) 660-7867.

The enumeration date for this NPI number is 12/18/2018 and was last updated on 12/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11629549860OTHERNEBRASKANPPES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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