Kacee Jo Samway, COTA/L
Occupational Therapy Assistant in Mc Cook, NE. Individual provider (NPI-1).
NPI number1164034450
StatusActive
Last updated in NPPESAug 19, 2020
Details
- NPI
- 1164034450
- Entity type
- Individual (NPI-1)
- Name
- Kacee Jo Samway
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2020
- Certification date
- Aug 19, 2020
- Last updated
- Aug 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 1092 | NE | Yes |
Practice location
1500 W 3rd StMc Cook, NE 69001-2152
Phone 308-345-5681
Mailing address
314 Pawnee DrMc Cook, NE 69001-2250
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