NPI 1003388802

Fully Alive Occupational Therapy

Organisation Clinic/Center North Platte, NE

Practice location

Address: 1002 E Philip Ave, North Platte, NE 69101-6104
Phone: (308) 532-4940
Mailing address: 404 W F St, North Platte, NE 69101-5231

Authorised official

Name: Marcie Minchow
Title: Occupational Therapy
Phone: (308) 660-7867

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Nebraska →

Registry record

NPI: 1003388802
Entity type: Organization
NPI issued: 18 Dec 2018
Record last updated: 18 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.