Individual
KAITLANN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
820 VILLAGE SQ, GRETNA, NE 68028-7914
(402) 932-0747
Mailing address
18919 HOWE ST, OMAHA, NE 68130-6064
(308) 940-0956
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2251
NE
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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