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Individual

MRS. JADA KAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOTR/L

Contact information

Practice address
300 22ND AVE, BROOKINGS, SD 57006-2480
(605) 696-9000
Mailing address
706 EAGLE RUN, DELL RAPIDS, SD 57022-2142
(605) 321-2428

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
001876
IA
225X00000X
Occupational Therapist
Primary
0713
SD
225X00000X
Occupational Therapist
103558
MN
225X00000X
Occupational Therapist
1967
AK

Other

Enumeration date
04/20/2010
Last updated
06/28/2011
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