Individual
LEIANNA SUE SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
16120 W DODGE RD, OMAHA, NE 68118-2049
(402) 354-0410
(402) 354-0415
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111
NE
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025895600
—
NE
05
—
10025895700
—
NE
05
—
10025895800
—
NE
05
—
10025941800
—
NE
05
—
10026083100
—
NE
05
—
10026252000
—
NE
05
—
1841594322
—
IA
Enumeration date
12/27/2010
Last updated
01/02/2014
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