Individual
MS. KWYNN MEAGAN GRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
114 N OAK ST, AINSWORTH, NE 69210-1425
(402) 760-0676
Mailing address
114 N OAK ST, AINSWORTH, NE 69210-1425
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1843
NE
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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