Individual
NEVIN JOHN ANDREAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
301 FLYNN DR STE 3, MILBANK, SD 57252-1509
(605) 432-3173
Mailing address
301 FLYNN DR STE 3, MILBANK, SD 57252-1509
(605) 432-3173
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0564
SD
225X00000X
Occupational Therapist
106299
MN
225X00000X
Occupational Therapist
Primary
1178
SD
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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