Individual
MS. JOLAYN MARIE COQUYT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
440 N HIAWATHA DR, CANTON, SD 57013-5800
(605) 987-2655
(605) 987-5631
Mailing address
440 N HIAWATHA DR, CANTON, SD 57013-5800
(605) 987-2655
(605) 987-5631
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0503
SD
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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