Individual
GWYN SCHUMACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 CHICAGO ST, JAVA, SD 57452
(605) 649-6296
Mailing address
310 2ND AVE SE, ASHLEY, ND 58413-7340
(701) 228-2410
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0627
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0627
SOUTH DAKOTA BOARD OF MEDICAL AND OSTEOPATHIC EXAMINERS
SD
Enumeration date
08/28/2016
Last updated
08/28/2016
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