Individual
RILEY KAY MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 RISEN SON BLVD, COUNCIL BLUFFS, IA 51503-1911
(712) 366-9655
Mailing address
501 S 67TH ST, OMAHA, NE 68106-1101
(402) 250-6405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
093652
IA
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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