Individual
KELLY MARIE BARKMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1906 SOUTH 196TH STREET, OMAHA, NE 68130
(402) 359-1774
Mailing address
1906 SOUTH 196TH STREET, OMAHA, NE 68130
(402) 359-1774
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
735
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001005029
STATE OF MISSOURI
MO
01
—
735
STATE OF NEBRASKA
NE
Enumeration date
10/09/2008
Last updated
10/09/2008
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