STACEY JANATA

GRAND ISLAND, NE
NPI1619492857
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NE  1840)
Enumeration Date2017-08-09
Last Update Date2017-08-09
Business Address
STACEY JANATA OT
3004 W FAIDLEY AVE
GRAND ISLAND, NE 68803-4109
Phone number: 308-398-5170
Mailing Address
STACEY JANATA OT
PO BOX 5285
GRAND ISLAND, NE 68802-5285
Phone number: