Brenda Delano, OTD, OTR/L

Individual provider Active NPI Occupational Therapist · Ponca, NE

NPI 1235783192 · NPPES record last updated Jul 30, 2019

Key facts

NPI
1235783192
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
410 Ball Park Rd
Ponca, NE 68770-7243
Phone
(402) 380-6529
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Yes

Addresses

Primary practice location

410 Ball Park Rd
Ponca, NE 68770-7243

Mailing address

317 N Norbeck St Apt 112
Vermillion, SD 57069-2854

Other names

  • Ms. Brenda Pankoke Former name

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Optima

Other providers in Ponca, NE

All providers in Ponca, NE · Occupational Therapist in Nebraska

Sources for this page

Verify at the official NPI Registry.