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Individual

MRS. THEA BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
341 N 37TH ST, OMAHA, NE 68131-2419
(712) 310-6676
Mailing address
341 N 37TH ST, OMAHA, NE 68131-2419

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
796
NE

Other

Enumeration date
06/14/2010
Last updated
06/16/2010
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