Individual
MS. JUDY MIRIOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4822 DODGE ST, OMAHA, NE 68132-3111
(402) 753-7230
(402) 905-2911
Mailing address
4822 DODGE ST, OMAHA, NE 68132-3111
(402) 753-7230
(402) 905-2911
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
001899
IA
225X00000X
Occupational Therapist
Primary
456
NE
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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