BARRY LEE BRAESCH

OMAHA, NE
NPI1942571195
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NE  311)
Enumeration Date2012-01-19
Last Update Date2012-01-19
Business Address
Mr. BARRY LEE BRAESCH COTA/L
2525 S 135TH AVE
OMAHA, NE 68144-2424
Phone number: 402-333-2304
Mailing Address
Mr. BARRY LEE BRAESCH COTA/L
4117 N 93RD ST
OMAHA, NE 68134-3937
Phone number: 402-630-0905
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