Healthcare Provider Details

I. General information

NPI: 1780641258
Provider Name (Legal Business Name): BOBBI S GREINER OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 02/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10601 S. 72ND ST. SUITE 103
PAPILLION NE
68046-3408
US

IV. Provider business mailing address

10601 S. 72ND ST. SUITE 103
PAPILLION NE
68046-3408
US

V. Phone/Fax

Practice location:
  • Phone: 402-932-2782
  • Fax: 402-932-2705
Mailing address:
  • Phone: 402-932-2782
  • Fax: 402-932-2705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1216
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: