Individual
TERESA NICOLE IGWENMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15680 JACKSON DR, OMAHA, NE 68118-2102
(402) 393-7313
(402) 397-0296
Mailing address
15680 JACKSON DR, OMAHA, NE 68118-2102
(402) 393-7313
(402) 397-0296
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
726
NE
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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