Provider Demographics
NPI:1265779037
Name:KREMER, ROSE RENE (OTR)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:RENE
Last Name:KREMER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19208 SAHLER ST
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-2280
Mailing Address - Country:US
Mailing Address - Phone:402-289-0747
Mailing Address - Fax:402-289-0156
Practice Address - Street 1:927 N 7TH ST
Practice Address - Street 2:
Practice Address - City:DAVID CITY
Practice Address - State:NE
Practice Address - Zip Code:68632-1313
Practice Address - Country:US
Practice Address - Phone:402-367-3045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-13
Last Update Date:2013-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE531225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist