Individual
STEPHANIE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5710 S 108TH ST, OMAHA, NE 68137-3592
(402) 340-3850
Mailing address
13009 FOWLER CIR, OMAHA, NE 68164-1726
(402) 340-3850
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1716
NE
Other
Enumeration date
07/27/2013
Last updated
05/08/2023
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