Premala T Menezes, OT

NPI #1306872403 in South Sioux City, Nebraska

Provider Information

NPI Number: 1306872403
Entity Type: Individual
Name: Premala T Menezes, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jun 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3410 FUTURES DR
City: South Sioux City
State: Nebraska
ZIP Code: 68776-3917
Phone: (402) 412-4271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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