Individual
ALEXANDRA MUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12793 Q ST, OMAHA, NE 68137-3211
(402) 933-3134
(402) 575-5852
Mailing address
12793 Q ST, OMAHA, NE 68137-3211
(402) 933-3134
(402) 575-5852
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1947
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1947
OT LICENSE #
NE
Enumeration date
08/09/2016
Last updated
08/09/2016
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