Individual
MELISSA JO OSBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
649 PARK AVE, BROOKINGS, SD 57006-3534
(605) 692-8615
Mailing address
649 PARK AVE, BROOKINGS, SD 57006-3534
(605) 692-8615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0295
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005505
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
SD
Enumeration date
10/10/2008
Last updated
10/10/2008
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