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Individual

MRS. JULIE R WOOTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
217 COUNTRY CLUB AVE, BRANDON, SD 57005-6644
(605) 582-8421
Mailing address
217 COUNTRY CLUB AVE, BRANDON, SD 57005-6644
(605) 582-8421

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
047
SD

Other

Enumeration date
05/21/2008
Last updated
05/21/2008
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