Individual
MRS. EMILY MARSZALKOWSKI MOOREFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6032 VILLE DE SANTE DR, OMAHA, NE 68104-1137
(402) 571-6770
Mailing address
6032 VILLE DE SANTE DRIVE, OMAHA, NE 68104
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1070
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131-001993
STATE BOARD
VA
01
—
097937
STATE BOARD
IA
01
—
1070
STATE BOARD
NE
Enumeration date
03/25/2020
Last updated
03/25/2020
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