Individual
MARY G STROESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.,C.H.T.
Contact information
Practice address
11704 W CENTER RD, SUITE 200, OMAHA, NE 68144-4375
(402) 691-0400
(402) 691-1580
Mailing address
11704 W CENTER RD, SUITE 200, OMAHA, NE 68144-4375
(402) 691-0400
(402) 691-1580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1059
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06547
BLUE CROSS BLUE SHIELD
NE
05
—
10025222500
—
NE
01
—
470533491
FEIN
NE
Enumeration date
06/14/2006
Last updated
02/04/2021
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