Individual
JAYME LYNN WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD OTRL
Contact information
Practice address
7350 GRACELAND DR, OMAHA, NE 68134-4328
(402) 572-5750
(402) 573-1488
Mailing address
16422 YATES ST, OMAHA, NE 68116-2509
(402) 445-2009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1011
NE
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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