Individual
COURTNEY ELLEN WHALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12856 DEAUVILLE DR, OMAHA, NE 68137-3204
(402) 895-2266
Mailing address
12856 DEAUVILLE DR, OMAHA, NE 68137-3204
(402) 895-2266
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1548
NE
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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