Individual
KIMBERLY KELLER EBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1423 7TH ST, AURORA, NE 68818-1141
(402) 694-8247
Mailing address
1423 7TH ST, AURORA, NE 68818-1141
(402) 694-6368
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
723
NE
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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