JORDAN WYATT RICE

OMAHA, NE
NPI1487075909
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: PA  Op007712)
Enumeration Date2013-12-31
Last Update Date2013-12-31
Business Address
-- JORDAN WYATT RICE Cota
11623 ARBOR ST
OMAHA, NE 68144-2981
Phone number: 866-334-1919
Mailing Address
-- JORDAN WYATT RICE Cota
11623 ARBOR ST
OMAHA, NE 68144-2981
Phone number: