Organization
INTEGRATED PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY NIELSEN OTD, OTR/L (CO-OWNER)
(402) 706-9320
Entity
Organization
Contact information
Practice address
11850 NICHOLAS ST STE 200, OMAHA, NE 68154-4476
(402) 706-9320
Mailing address
11850 NICHOLAS ST STE 200, OMAHA, NE 68154-4476
(402) 706-9320
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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