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Individual

MRS. KAREN KAY DRIESSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
111 W 36TH ST, SCOTTSBLUFF, NE 69361-4636
(308) 635-2019
Mailing address
4402 APPLE AVE, SCOTTSBLUFF, NE 69361-4849
(701) 202-0047

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
842
NE

Other

Enumeration date
08/01/2011
Last updated
08/01/2011
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