Individual
PRISCILLA RUTH ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L CLT
Contact information
Practice address
17305 WOOLWORTH AVE, OMAHA, NE 68130-1131
(402) 980-6049
Mailing address
17305 WOOLWORTH AVE, OMAHA, NE 68130-1131
(402) 980-6049
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
739
NE
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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