Individual
MISS JENNIFER LYNN LANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L01
Contact information
Practice address
1100 4TH AVE E, MOBRIDGE, SD 57601-1404
(605) 845-7231
Mailing address
1100 4TH AVE E, MOBRIDGE, SD 57601-1404
(605) 845-7231
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209A
SD
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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