Individual
NICOLE WRAGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT/L
Contact information
Practice address
2732 N 123RD CIR, OMAHA, NE 68160
(402) 990-5084
Mailing address
2732 N 123RD CIR, OMAHA, NE 68164-2504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1681
NE
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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