Individual
LESLIE A BOUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
101 WEST 69TH STREET, SUITE 105, SIOUX FALLS, SD 57108
(605) 331-0044
(605) 331-0088
Mailing address
2301 W SLEIGH CREEK TRL, SIOUX FALLS, SD 57108-3005
(605) 335-1808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0433
SD
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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