Individual
RANDAL JAMES BRESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1401 W 1ST ST, WEBSTER, SD 57274-1054
(605) 588-3186
Mailing address
1401 W 1ST ST, WEBSTER, SD 57274-1054
(605) 588-3186
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
128A
SD
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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