Individual
MS. JODY MARIE NIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
215 S MAPLE, WATERTOWN, SD 57201
(605) 886-5777
(605) 886-0790
Mailing address
111 6TH AVE NE, WATERTOWN, SD 57201
(605) 886-5777
(605) 886-0790
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0253
SD
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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