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1225402159
KAYLEE WALLACE
OMAHA, NE
NPI
1225402159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NE 1944)
Enumeration Date
2015-11-16
Last Update Date
2023-05-30
Business Address
KAYLEE WALLACE OTR/L, CLT
17500 BURKE ST
OMAHA, NE 68118-2244
Phone number: 402-401-3654
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Mailing Address
KAYLEE WALLACE OTR/L, CLT
5401 SOUTH ST
LINCOLN, NE 68506-2150
Phone number: 402-413-3900
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