Individual
TERESA BRANDSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E HOLLY BLVD, BRANDON, SD 57005-1277
(605) 582-6315
Mailing address
501 E HOLLY BLVD, BRANDON, SD 57005-1277
(605) 582-6315
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
164-LIMITED
SD
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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