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Individual

AMY MARIE HEUMILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT/L

Contact information

Practice address
511 S. NEBRASKA, SALEM, SD 57058
(605) 421-1728
(605) 425-2463
Mailing address
44110 254TH ST, SALEM, SD 57058-5536
(605) 421-1728
(605) 425-2463

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119
SD

Other

Enumeration date
10/02/2007
Last updated
01/25/2011
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