Individual
MRS. JENNIFER HECK GLAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3226 S 112TH ST, OMAHA, NE 68144-4708
(402) 672-6794
Mailing address
105 S 93RD AVE, OMAHA, NE 68114-3805
(402) 392-2802
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
197
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91182814501
—
NE
Enumeration date
03/03/2011
Last updated
03/03/2011
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