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NPI Code Detail

MEDICARE: KRISTAN L PILAKOWSKI OTD, OTR/L

MEDICARE:   KRISTAN L PILAKOWSKI  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
1225XP0200XPediatric Occupational Therapist1396NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518107093
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTAN L PILAKOWSKI OTD, OTR/L
Provider Business Mailing Address
First Line : 10601 S 72ND ST
Second Line : STE. 103
City : PAPILLION
State : NE
Zip : 68046-3407
Country : US
Telephone Number : 402-932-2782
Fax Number : 402-932-2705
Provider Business Practice Location Address
First Line : 10601 S 72ND ST
Second Line : STE. 103
City : PAPILLION
State : NE
Zip : 68046-3407
Country : US
Telephone Number : 402-932-2782
Fax Number : 402-932-2705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2009
Last Update Date : 05/30/2015

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Directions to “ KRISTAN L PILAKOWSKI OTD, OTR/L” Practice Location

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