Individual
JORDAN LEIGH EHLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
318 W 18TH ST, COZAD, NE 69130-1110
(308) 784-3715
(308) 784-3746
Mailing address
309 9TH ST, GOTHENBURG, NE 69138-1914
(402) 762-5261
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
901030
NE
Other
Enumeration date
10/01/2012
Last updated
05/28/2019
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