Individual
JIM HERMELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
61 CHARLES ST, DEADWOOD, SD 57732-1303
(605) 722-6101
Mailing address
61 CHARLES ST, DEADWOOD, SD 57732-1303
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0252
SD
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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