Provider Demographics
NPI:1275137747
Name:GUITTAR, ANNA KAREN (OTD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:KAREN
Last Name:GUITTAR
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 S 98TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68520-9432
Mailing Address - Country:US
Mailing Address - Phone:734-925-5549
Mailing Address - Fax:
Practice Address - Street 1:1731 S 98TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68520-9432
Practice Address - Country:US
Practice Address - Phone:734-925-5549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2473225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist