Individual
ERICA KNIZACKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13609 CALIFORNIA ST, OMAHA, NE 68154-5260
(800) 456-5857
Mailing address
13609 CALIFORNIA ST, OMAHA, NE 68154-5260
(800) 456-5857
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
COTA-1259
WY
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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