# ESL SD VICTORIAN OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205730314
- **Authorized official:** ANGELA WIEDERICH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (605) 340-6400

## Contact information

- **Practice address:** 1321 COLUMBUS ST, RAPID CITY, SD 57701-2538
- **Practice address phone:** (605) 791-1866
- **Mailing address:** 1321 COLUMBUS ST, RAPID CITY, SD 57701-2538
- **Mailing address phone:** (605) 791-1866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |

## Other

- **Enumeration date:** 10/05/2026
- **Last updated:** 10/05/2026
