Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Contractor |
171W00000X | |||
Home Modifications |
171WH0202X | |||
Vehicle Modifications |
171WV0202X |
| NPI Number | 1225528524 |
| Entity | Organization |
| Organization subpart 1 | Not specified |
| Enumeration date | 05/14/2018 |
| Last updated | 07/10/2018 - About 8 years ago |
| Identifiers | n/a |
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TARA R NIEBERDING
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