Individual
EMILY MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1109 W CEDAR ST, BERESFORD, SD 57004-1524
(605) 763-5096
Mailing address
205 N PEARL ST, ELK POINT, SD 57025-2248
(605) 659-4330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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