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Organization
FLEXIBIL OT INC
Active
Organization
FLEXIBIL OT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLI MINER OT (PRESIDENT)
(605) 484-9759
Entity
Organization
Contact information
Practice address
4824 ENCHANTED PINES DR, RAPID CITY, SD 57701-9235
(605) 484-9759
(605) 721-5940
Mailing address
4824 ENCHANTED PINES DR, RAPID CITY, SD 57701-9235
(605) 484-9759
(605) 721-5940
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
0597
SD
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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