Individual
CORA FREELOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13609 CALIFORNIA ST, SUITE 200, OMAHA, NE 68154-5260
(402) 891-1118
Mailing address
13609 CALIFORNIA ST, SUITE 200, OMAHA, NE 68154-5260
(402) 891-1118
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
3536
MA
224Z00000X
Occupational Therapy Assistant
A01936
MD
224Z00000X
Occupational Therapy Assistant
Primary
OP007320
PA
224Z00000X
Occupational Therapy Assistant
OTA00604
RI
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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