Provider Demographics
NPI:1932490018
Name:VAN HAUTE, CATHY (OTR/L)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:VAN HAUTE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:VAN HAUTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 45169
Mailing Address - Street 2:3825 N 112TH AVE
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68145-0169
Mailing Address - Country:US
Mailing Address - Phone:402-660-0946
Mailing Address - Fax:
Practice Address - Street 1:3226 S 112TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4708
Practice Address - Country:US
Practice Address - Phone:402-660-0946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE91182814501Medicaid