Individual
KALLIE MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
220 AMICK AVE, DONIPHAN, NE 68832-9712
(308) 383-9489
Mailing address
220 AMICK AVE, DONIPHAN, NE 68832-9712
(308) 383-9489
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
901079
NE
Other
Enumeration date
08/12/2014
Last updated
03/24/2017
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