Individual
JILL WENANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 W 18TH ST, SUITE LL01, SIOUX FALLS, SD 57104-4647
(605) 328-1860
(605) 328-1640
Mailing address
7709 W 53RD ST, SIOUX FALLS, SD 57106-7546
(605) 328-1630
(605) 328-1640
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1606
SD
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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