Individual
MRS. JESSICA DAWN GINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5907 M ST, OMAHA, NE 68117-1745
(641) 257-8839
Mailing address
5907 M ST, OMAHA, NE 68117-1745
(641) 257-8839
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
001041
IA
224Z00000X
Occupational Therapy Assistant
Primary
891
NE
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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