Individual
KRISTIN JEAN KORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
134 N 248TH CIR, WATERLOO, NE 68069-4690
(402) 740-8136
Mailing address
134 N 248TH CIR, WATERLOO, NE 68069-4690
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
900984
NE
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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