Most Relevant Information
Provider Data
| NPI Number: | 1003007436 |
| Provider Name: | ALISHA LEE ETTLEMAN OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 769 |
Most Important Dates
| Enumeration Date: | 08/09/2007 |
| Last Updated: | 08/09/2007 |
Provider Practice Location
1314 3RD AVE
NEBRASKA CITY
NE
684101930
Practice Location Phone/Fax
| Phone: | 4028738918 |
| Fax: |
Provider Mailing Location
1314 3RD AVE
NEBRASKA CITY
NE
684101930
Provider Mailing Phone/Fax
| Phone: | 4028738918 |
| Fax: |