Individual
MICA SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
400 ERIN CIR, HARTFORD, SD 57033-2073
(605) 988-4528
(605) 528-3058
Mailing address
7500 W GRINNELL CIR, SIOUX FALLS, SD 57106-7657
(605) 999-3073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0915
SD
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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