Individual
NICOLE LENE' MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7915 N 30TH ST, OMAHA, NE 68112-2418
(402) 827-6000
Mailing address
10526 POTTER ST, OMAHA, NE 68122-1545
(402) 885-8992
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1862
NE
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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