Individual
MS. KELSIE LEA STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
824 10TH AVE # 129, NEBRASKA CITY, NE 68410-1370
(402) 873-5513
Mailing address
2301 DAHLKE AVE # 310, AUBURN, NE 68305-3024
(402) 274-4354
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
901242
NE
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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