Individual
KRISTEN L MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 S 38TH AVE, OMAHA, NE 68105-1107
(402) 559-2643
(402) 559-8375
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1888
NE
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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