MEDICARE: MISS AZIA OURADA OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	3052	NE

General Provider Information

NPI Number	:	1972480572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS AZIA OURADA OTR/L

Provider Business Mailing Address
First Line	:	955 N ADAMS ST STE 1
Second Line	:
City	:	PAPILLION
State	:	NE
Zip	:	68046-3080
Country	:	US
Telephone Number	:	531-600-7774
Fax Number	:	402-318-3154

Provider Business Practice Location Address
First Line	:	955 N ADAMS ST STE 1
Second Line	:
City	:	PAPILLION
State	:	NE
Zip	:	68046-3080
Country	:	US
Telephone Number	:	531-600-7774
Fax Number	:	402-318-3154

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	11/24/2025

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Directions to “ MISS AZIA OURADA OTR/L” Practice Location

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