LANA RAQUEL GOFORTH

OMAHA, NE
NPI1194432104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NE  2735)
Enumeration Date2022-10-31
Last Update Date2022-10-31
Business Address
LANA RAQUEL GOFORTH OTD OTR/L
2824 N 66TH AVE
OMAHA, NE 68104-3928
Phone number: 402-551-2110
Mailing Address
LANA RAQUEL GOFORTH OTD OTR/L
19631 T ST
OMAHA, NE 68135-4315
Phone number: 402-810-2905
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