Individual
MRS. VANESSA UMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
2908 5TH ST, RAPID CITY, SD 57701-7317
(605) 755-4589
Mailing address
2908 5TH ST # 57701, RAPID CITY, SD 57701-7317
(605) 755-4589
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1014
SD
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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