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Organization

THERAPLAYCE CHILDREN'S DEVELOPMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE R MONESTERO OTR (OTR OWNER)
(402) 731-8888
Entity
Organization

Contact information

Practice address
4930 L ST, OMAHA, NE 68117-1553
(402) 731-8888
(402) 731-8090
Mailing address
4930 L ST, OMAHA, NE 68117-1553
(402) 731-8888
(402) 731-8090

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
682
NE
225X00000X
Occupational Therapist
Primary
181
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6400111
UNITED HEALTHCARE INSURAN
NE
01
86841
MUTUAL OF OMAHA
NE
01
95488
COVENTRY HEALTH CARE OF NEBRASKA
NE
Enumeration date
01/12/2007
Last updated
07/23/2008
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