WHITNEY LEA WALLACE

SEWARD, NE
NPI1740936517
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NE  1074)
Enumeration Date2022-03-01
Last Update Date2022-03-01
Business Address
WHITNEY LEA WALLACE COTA/L
624 PINEWOOD AVE
SEWARD, NE 68434-1055
Phone number: 402-643-2902
Mailing Address
WHITNEY LEA WALLACE COTA/L
3721 FAULKNER DR APT 117
LINCOLN, NE 68516-4763
Phone number: 308-870-3193