Individual
BRENDA SELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1039 MONTGOMERY ST, 1039 MONTGOMERY ST, CUSTER, SD 57730-1304
(605) 673-9470
(605) 673-4954
Mailing address
1039 MONTGOMERY ST, CUSTER REGIONAL HOSPITAL, CUSTER, SD 57730-1304
(605) 673-9470
(605) 673-4954
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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