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Individual

KATRINA MARIE-YBAY LERETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
115 MAIN ST, SIDNEY, IA 51652-6069
(712) 374-2693
Mailing address
115 MAIN ST, SIDNEY, IA 51652-6069

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
087409
IA
225X00000X
Occupational Therapist
2113
NE

Other

Enumeration date
07/17/2017
Last updated
07/17/2017
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