Individual
DONNA LYNN DETTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1112 REDWOOD DR, WATERTOWN, SD 57201-9124
(605) 878-1032
Mailing address
1112 REDWOOD DR, WATERTOWN, SD 57201-9124
(605) 878-1032
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
408
SD
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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