NPI 1093330490

Sonia Bustamante, COTA

Practitioner Occupational Therapy Assistant Grand Island, NE

Practice location

Address: 3004 W Faidley Ave, Grand Island, NE 68803-4109
Phone: (308) 398-5170
Fax: (308) 398-5175
Mailing address: PO Box 5285, Grand Island, NE 68802-5285

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 995 (NE)

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Registry record

NPI: 1093330490
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2020
Record last updated: 11 Jun 2020

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.