Individual
JORDAN KRANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16611 463RD AVE, WATERTOWN, SD 57201-8768
(605) 880-5959
Mailing address
16611 463RD AVE, WATERTOWN, SD 57201-8768
(605) 880-5959
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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