Individual
LAURA LIEBENTRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1338 S 133RD ST, OMAHA, NE 68144-1202
(402) 657-5947
Mailing address
1338 S 133RD ST, OMAHA, NE 68144-1202
(402) 657-5947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
354
NE
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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