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Individual

CHERYL COVERDALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
729 KENNEDY LOOP, PIERRE, SD 57501-8700
(605) 280-0139
Mailing address
729 KENNEDY LOOP, PIERRE, SD 57501-8700
(605) 280-0139

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0415
SD
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
05/05/2016
Last updated
05/05/2016
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