Organization
CHILDREN'S REHAB - OCCUPATIONAL THERAPY
Active
Organization
CHILDREN'S REHAB - OCCUPATIONAL THERAPY
Active
Parent organization
CHILDREN'S HOSPITAL & MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL & MEDICAL CENTER
Authorized official
LORI KNIGHT (CREDENTIALING SPECIALIST)
(402) 955-6903
Entity
Organization
Contact information
Practice address
17809 PIERCE PLZ, CHILDREN'S REHAB - OCCUPATIONAL THERAPY, OMAHA, NE 68130-1035
(402) 955-8355
(402) 955-8656
Mailing address
8200 DODGE ST, CHILDREN'S HOSPITAL & MEDICAL CENTER, OMAHA, NE 68114-4113
(402) 955-5400
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025747500
—
NE
Enumeration date
09/29/2009
Last updated
03/04/2016
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