Provider Demographics
NPI:1831084078
Name:STEVENS, CECILIA JOAN (OTD)
Entity type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:JOAN
Last Name:STEVENS
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12100 W CENTER RD STE 518
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-3960
Mailing Address - Country:US
Mailing Address - Phone:402-933-2882
Mailing Address - Fax:
Practice Address - Street 1:12100 W CENTER RD STE 518
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-3960
Practice Address - Country:US
Practice Address - Phone:402-933-2882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3056225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist