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Individual

NIKKI SOULEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
200 E HAVENS AVE, MITCHELL, SD 57301-7284
(605) 995-6370
(605) 995-6374
Mailing address
200 E HAVENS AVE, MITCHELL, SD 57301-7284
(605) 995-6370
(605) 995-6374

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
0951
SD
225XP0200X
Pediatric Occupational Therapist
0951
SD

Other

Enumeration date
05/19/2015
Last updated
03/27/2020
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