BRENT ALLEN ENNINGA

LINCOLN, NE
NPI1982832481
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NE  1037)
Enumeration Date2009-06-23
Last Update Date2009-06-23
Business Address
BRENT ALLEN ENNINGA OTD, OTR/L
1340 ELBA AVE
LINCOLN, NE 68521-2044
Phone number: 402-261-3272
Mailing Address
BRENT ALLEN ENNINGA OTD, OTR/L
1340 ELBA AVE
LINCOLN, NE 68521-2044
Phone number: 402-261-3272
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