Organization
CARNAHAN PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE CARNAHAN MA OTR/L (MANAGER)
(402) 210-8111
Entity
Organization
Contact information
Practice address
800 N FRONT ST STE 510, WATERLOO, NE 68069-2249
(402) 210-8111
(402) 769-2910
Mailing address
15441 HAMILTON ST, OMAHA, NE 68154-3733
(402) 210-8111
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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