Individual
HEATHER NICOLE KOEHLMOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3004 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4109
(308) 398-5170
(308) 398-5175
Mailing address
PO BOX 5285, GRAND ISLAND, NE 68802-5285
(308) 675-1853
(308) 210-4121
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2076
NE
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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