Individual
GRACEY JESSICA BRENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2442 10TH AVE NE, WATERTOWN, SD 57201-6795
(605) 956-1311
Mailing address
2442 10TH AVE NE, WATERTOWN, SD 57201-6795
(605) 956-1311
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
SD
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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