Individual
JILL DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
950 E PARK ST, PIERRE, SD 57501-4154
(605) 224-8628
Mailing address
950 E PARK ST, PIERRE, SD 57501-4154
(605) 224-8628
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
0590
SD
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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