Individual
CARLY FALTYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3004 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4109
(308) 398-5170
Mailing address
PO BOX 5285, GRAND ISLAND, NE 68802-5285
(308) 675-1853
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2043
NE
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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