Individual
MRS. LEEANN MARIE DUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(800) 334-1919
(402) 315-3722
Mailing address
412 WAPSIE ST, SUMNER, IA 50674-1308
(563) 920-7014
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00682
IA
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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