| NPI | 1891440632 |
|---|---|
| Doing Business As | MYO OMAHA |
| Entity Type | Organization |
| Authorized Contact | LESLEY DENISE LARIVE Speech Language Pathologist 402-415-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-02-21 |