Provider Demographics
NPI:1134885387
Name:DURYEA, EMMA J (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:J
Last Name:DURYEA
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:J
Other - Last Name:SARDINSKAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1651 N 86TH ST., SUITE 200
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505
Mailing Address - Country:US
Mailing Address - Phone:402-327-2500
Mailing Address - Fax:402-327-2525
Practice Address - Street 1:1651 N 86TH ST., SUITE 200
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505
Practice Address - Country:US
Practice Address - Phone:402-327-2500
Practice Address - Fax:402-327-2525
Is Sole Proprietor?:No
Enumeration Date:2021-11-11
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2637225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist