Individual
EMMILIE KOSIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8525 EXECUTIVE WOODS DR, LINCOLN, NE 68512-9300
(402) 942-1329
Mailing address
3925 S 147TH ST STE 109-111, OMAHA, NE 68144-5565
(402) 942-1329
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
Primary
2513
NE
Other
Enumeration date
02/22/2016
Last updated
05/16/2021
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