Individual
COREY MATHEW CUNDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6404 N 70TH PLZ, OMAHA, NE 68104-1074
(531) 210-5700
Mailing address
6404 N 70TH PLZ, OMAHA, NE 68104-1074
(531) 210-5700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2202
NE
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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