Individual
KYLIE ANDREA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9417 PARK DR APT 204, OMAHA, NE 68127-5257
(712) 389-7371
Mailing address
9417 PARK DR APT 204, OMAHA, NE 68127-5257
(712) 389-7371
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2388
NE
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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