Individual
REBECCA LAVON HEDEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1001 ALLEN AVE, RAPID CITY, SD 57701
(605) 342-0255
Mailing address
1001 ALLEN AVE, RAPID CITY, SD 57701
(605) 342-0255
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0111
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0111
SD LICENSE
SD
Enumeration date
10/09/2012
Last updated
10/09/2012
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