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Individual

KACEE JO SAMWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1500 W 3RD ST, MC COOK, NE 69001-2152
(308) 345-5681
Mailing address
314 PAWNEE DR, MC COOK, NE 69001-2250

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1092
NE

Other

Enumeration date
08/19/2020
Last updated
08/19/2020
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