Individual
CHERYL L. PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
(C)OTA/L
Contact information
Practice address
501 W HAVENS AVE, SUITE 103, MITCHELL, SD 57301-4334
(605) 995-6044
(605) 995-6044
Mailing address
PO BOX 1284, 501 WEST HAVENS SUITE 103, MITCHELL, SD 57301-7284
(605) 995-6044
(605) 995-6044
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
110A
SD
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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