Individual
KIMBERLY A JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3110 SCOTT CIR, OMAHA, NE 68112-2604
(402) 203-6112
(402) 932-1888
Mailing address
3515 N 93RD AVE APT 6, OMAHA, NE 68134-4672
(402) 890-7883
(402) 932-1888
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
872
NE
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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