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Individual

MRS. KIM MARIE HANNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1100 4TH AVE E, MOBRIDGE, SD 57601-1404
(605) 845-7231
(605) 845-4838
Mailing address
1100 4TH AVE E, MOBRIDGE, SD 57601-1404
(605) 845-7231
(605) 845-4838

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0453
SD

Other

Enumeration date
01/14/2008
Last updated
01/14/2008
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