Individual
MRS. AMY B KUPSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11850 NICHOLAS ST STE 100, OMAHA, NE 68154-4476
(402) 505-4670
Mailing address
55 YATES ST, FORTY FORT, PA 18704-4118
(570) 690-0623
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006778
PA
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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