Provider Demographics
NPI:1649695099
Name:TORRENTEZ, EMILY P (OT)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:P
Last Name:TORRENTEZ
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:LIEU
Other - Last Name:PINKERTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5010 LAKE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68133-4746
Mailing Address - Country:US
Mailing Address - Phone:562-277-8717
Mailing Address - Fax:
Practice Address - Street 1:8011 CHICAGO ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3533
Practice Address - Country:US
Practice Address - Phone:402-659-4991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1778225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1778OtherLICENSE