Individual
AMANDA JO SUEDMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
505 KANSAS CITY ST, RAPID CITY, SD 57701-4146
(605) 222-7336
Mailing address
7175 DUNSMORE RD APT 212, RAPID CITY, SD 57702-4509
(605) 626-1765
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
SD
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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