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NPI Code Detail

MEDICARE: DR. KAMI RAI HEISS OTD, OTR/L

MEDICARE: DR. KAMI RAI HEISS OTD, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist1290NE

General Provider Information

NPI Number : 1770774739
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAMI RAI HEISS OTD, OTR/L
Provider Business Mailing Address
First Line : 323 S 132ND ST
Second Line :
City : OMAHA
State : NE
Zip : 68154-2106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 323 S 132ND ST
Second Line :
City : OMAHA
State : NE
Zip : 68154-2106
Country : US
Telephone Number : 402-334-6535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2007
Last Update Date : 07/05/2010

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