Individual
LEXIE MARIE EDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3601 CIMARRON PLZ STE 105, HASTINGS, NE 68901-2883
(402) 463-2077
(402) 463-2062
Mailing address
PO BOX 404, ELWOOD, NE 68937-0404
(308) 325-7957
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2667
NE
Other
Enumeration date
07/08/2022
Last updated
11/15/2023
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