Individual
MADISYN MARIE PISTORIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
300-398 WALNUT ST W, SISSETON, SD 57262
(605) 698-7613
Mailing address
46639 113TH ST, HART TOWNSHIP, SD 56219-4053
(605) 419-1707
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
SD
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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