Individual
GAYATHRI VENKATACHALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 N 207TH PLZ, ELKHORN, NE 68022-1289
(402) 289-2428
Mailing address
1303 S 203RD ST APT 1402, OMAHA, NE 68130-2895
(248) 320-0774
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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