Individual
KIM M HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8031 W CENTER RD, SUITE 225, OMAHA, NE 68124-3158
(402) 391-5002
(402) 343-1278
Mailing address
1633 N 53RD ST, OMAHA, NE 68104-4947
(402) 960-1190
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
735
NE
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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