Individual
DANIEL WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2423 N 99TH ST, OMAHA, NE 68134-5641
(402) 917-8525
Mailing address
2423 N 99TH ST, OMAHA, NE 68134-5641
(402) 917-8525
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
NE
Other
Enumeration date
03/08/2025
Last updated
03/12/2025
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