Individual
MADISON SUE GUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1774 CENTRE ST, SUITE #1, RAPID CITY, SD 57703-4029
(605) 716-2634
(605) 716-2639
Mailing address
1774 CENTRE ST, SUITE #1, RAPID CITY, SD 57703-4029
(605) 716-2634
(605) 716-2639
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1015
SD
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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