BRYAN LEE KLINGINSMITH

GRAND ISLAND, NE
NPI1780460519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NE  1153)
Enumeration Date2023-09-07
Last Update Date2023-09-07
Business Address
BRYAN LEE KLINGINSMITH COTA/L
3004 W FAIDLEY AVE
GRAND ISLAND, NE 68803-4109
Phone number: 308-398-5170
Mailing Address
BRYAN LEE KLINGINSMITH COTA/L
PO BOX 5285
GRAND ISLAND, NE 68802-5285
Phone number: 308-675-1853
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