Individual
KIRAN KOTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1540 N 72ND ST, OMAHA, NE 68114-1924
(402) 398-3958
Mailing address
7009 S HARRISON HILLS DR, APT-207, LA VISTA, NE 68128-7710
(317) 529-2978
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2694
NE
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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