Individual
DR. NEIL MATTHIESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1100
Mailing address
2811 WILKIE DR APT 304, RAPID CITY, SD 57702-9775
(727) 667-2495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1149
SD
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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