Individual
CARISSA J TETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
920 EAST 56TH ST., STE. A, KEARNEY, NE 68847-8628
(308) 233-5060
(308) 233-5062
Mailing address
920 EAST 56TH ST., STE. A, KEARNEY, NE 68847-8628
(308) 233-5060
(308) 233-5062
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1640
NE
Other
Enumeration date
10/25/2021
Last updated
10/26/2021
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