Individual
MRS. AMY L. HASELHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2031 AUGUSTA DR, VERMILLION, SD 57069-3426
(605) 624-9268
Mailing address
2031 AUGUSTA DR, VERMILLION, SD 57069-3426
(605) 624-9268
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
114A
SD
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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