Provider Demographics
NPI:1376669689
Name:SCHREIBER NATHAN, LISA CRISTINA (OT)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:CRISTINA
Last Name:SCHREIBER NATHAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 RIDGEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-4271
Mailing Address - Country:US
Mailing Address - Phone:402-537-9088
Mailing Address - Fax:
Practice Address - Street 1:245 S 22ND ST
Practice Address - Street 2:
Practice Address - City:BLAIR
Practice Address - State:NE
Practice Address - Zip Code:68008-1811
Practice Address - Country:US
Practice Address - Phone:402-426-2177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1062225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist