Individual
JENNIFER A DUTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6312 SAHLER ST, OMAHA, NE 68104-2655
(402) 884-8539
Mailing address
6312 SAHLER ST, OMAHA, NE 68104-2655
(402) 884-8539
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
763
NE
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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