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Individual

ERIC A. ESSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTD, OTR/L

Contact information

Practice address
17475 FRANCES ST, OMAHA, NE 68130-2344
(402) 829-9070
Mailing address
2049 PHELPS AVE, FREMONT, NE 68025-4521

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
072510
IA
225X00000X
Occupational Therapist
Primary
1802
NE
225X00000X
Occupational Therapist
2014013364
MO

Other

Enumeration date
11/08/2014
Last updated
11/08/2014
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