Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 1983 | NE |
NPI | 1003395849 |
---|---|
Provider Name | Gianna Howard |
First Address | Omaha, NE 68130-2042 |
Second Address | Omaha, NE 68130-2042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2018 |
Last Update Date | 13/08/2018 |