Individual
MISS ALEXANDRIA RAE WALENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
620 N DIERS AVE STE 300, GRAND ISLAND, NE 68803-4985
(308) 382-0344
(308) 382-3241
Mailing address
1624 JERRY DR, GRAND ISLAND, NE 68803-5021
(402) 707-0399
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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