Individual
ERIN M KETCHMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20650 GLENN ST, ELKHORN, NE 68022-2324
(402) 289-2579
Mailing address
20650 GLENN ST, ELKHORN, NE 68022-2324
(402) 289-2579
(402) 289-2585
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2706
NE
Other
Enumeration date
10/03/2022
Last updated
07/16/2025
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