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Individual

MAKAYLA STAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT

Contact information

Practice address
920 E 56TH ST STE A, KEARNEY, NE 68847-8628
(308) 233-5060
(308) 233-5062
Mailing address
920 E 56TH ST STE A, KEARNEY, NE 68847-8628
(308) 233-5060
(308) 233-5062

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2628
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2628
OT LICENSE
NE
Enumeration date
10/27/2021
Last updated
10/27/2021
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