Individual
KARA SHROLL BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
3000 RISEN SON BLVD, COUNCIL BLUFFS, IA 51503-1911
(712) 366-9655
Mailing address
11857 S PLZ APT 110, OMAHA, NE 68137-3859
(605) 201-4597
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110320
IA
Other
Enumeration date
08/21/2020
Last updated
08/16/2021
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