Individual
MS. MOLLY GANOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
20115 GEORGE B LAKE PKWY, OMAHA, NE 68130-5095
(402) 594-4567
Mailing address
20115 GEORGE B LAKE PKWY, OMAHA, NE 68130-5095
(402) 594-4567
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
786
NE
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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