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Individual

JEANIE MARIE UTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
531 7TH ST NE, WATERTOWN, SD 57201-1848
(605) 661-9513
Mailing address
7913 W LEAH ST, SIOUX FALLS, SD 57106-5607
(605) 661-9513

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0825
SD

Other

Enumeration date
10/03/2012
Last updated
09/25/2024
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