Individual
MRS. MALEIA SUZANNE-ROME LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10791 S 72ND ST, SUITE 103, PAPILLION, NE 68046-3423
(402) 932-2782
Mailing address
1407 N 195TH STREET, ELKHORN, NE 68022-6415
(402) 332-7566
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT9464
CA
225XP0200X
Pediatric Occupational Therapist
Primary
1364
NE
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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