Individual
LIZA EVE PRUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
3940 CORNHUSKER HWY STE 200, LINCOLN, NE 68504-1509
(402) 904-4474
Mailing address
4524 HICKORY ST, OMAHA, NE 68106-2510
(402) 708-7038
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2487
NE
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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