Individual
MIRANDA IVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
930 12TH ST S, BROOKINGS, SD 57006-3877
(605) 695-6881
Mailing address
930 12TH ST S, BROOKINGS, SD 57006-3877
(605) 695-6881
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4562
NM
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/04/2021
Last updated
10/13/2021
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