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Individual

MRS. HEATHER ANNE POTTHOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5505 GROVER ST, OMAHA, NE 68106-3718
(402) 551-4970
(402) 558-0227
Mailing address
5505 GROVER ST, OMAHA, NE 68106
(402) 551-4970

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
909
NE

Other

Enumeration date
08/19/2011
Last updated
08/19/2011
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