Individual
KELLY L WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 CENTENNIAL AVE, UTICA, NE 68456-6094
(402) 534-2041
Mailing address
1350 CENTENNIAL AVE, UTICA, NE 68456-6094
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
875
NE
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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