Provider Demographics
NPI:1902401276
Name:LAMB, ALEX (OT)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:LAMB
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:LANDWEHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17201 WRIGHT ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2042
Mailing Address - Country:US
Mailing Address - Phone:402-691-6977
Mailing Address - Fax:
Practice Address - Street 1:17201 WRIGHT ST STE 200
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2042
Practice Address - Country:US
Practice Address - Phone:402-691-6977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist