Individual
WILLIAM LEE WOLAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2414 N 60TH ST, OMAHA, NE 68104
(402) 614-3673
Mailing address
2414 N 60TH ST, OMAHA, NE 68104-4111
(402) 614-3673
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1003914
OR
224Z00000X
Occupational Therapy Assistant
318
NE
224Z00000X
Occupational Therapy Assistant
OC60438346
WA
Other
Enumeration date
01/16/2010
Last updated
06/13/2018
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