Most Relevant Information
Provider Data
| NPI Number: | 1003262544 |
| Provider Name: | SUSAN NIELSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0019X |
| Specialty: | Occupational Therapist |
| License Number: | OT60642487 |
Most Important Dates
| Enumeration Date: | 05/13/2016 |
| Last Updated: | 10/15/2021 |
Provider Practice Location
13609 CALIFORNIA STREET, SUITE 200
C&A PLAZA,
OMAHA
NE
681545260
Practice Location Phone/Fax
| Phone: | 4028911118 |
| Fax: |
Provider Mailing Location
2113 STATE ST
HOUSTON
TX
770078337
Provider Mailing Phone/Fax
| Phone: | 8016366452 |
| Fax: |