Individual
KAYLEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
7686 WALNUT ST, OMAHA, NE 68124-1717
(402) 819-8477
Mailing address
605 S 37TH ST APT 6, OMAHA, NE 68105-1264
(402) 517-0705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2746
NE
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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