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Individual

TANYA WESTBROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 719-1100
(605) 719-7680
Mailing address
PO BOX 3450, RAPID CITY, SD 57709-3450
(605) 719-1100
(605) 719-7680

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
11/09/2006
Last updated
07/08/2007
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