Basic Information
| Provider Information | |||||||||
| NPI: | 1730376146 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WERE | ||||||||
| FirstName: | ROSEMARY | ||||||||
| MiddleName: | NGIRA | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | OT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1715 E 41ST STREET PL | ||||||||
| Address2: | |||||||||
| City: | KEARNEY | ||||||||
| State: | NE | ||||||||
| PostalCode: | 688473925 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3082348116 | ||||||||
| FaxNumber: | 3082348116 | ||||||||
| Practice Location | |||||||||
| Address1: | 610 N DARR AVE | ||||||||
| Address2: | |||||||||
| City: | GRAND ISLAND | ||||||||
| State: | NE | ||||||||
| PostalCode: | 688034635 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3083822635 | ||||||||
| FaxNumber: | 3083820418 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/29/2007 | ||||||||
| LastUpdateDate: | 09/29/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 670 | NE | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.