Individual
NANCY L SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
703 4TH ST SE, LAKE PRESTON, SD 57249-2116
(605) 847-4405
Mailing address
1800 OHIO DR, BROOKINGS, SD 57006-2353
(605) 692-7589
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0042
SD
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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