Individual
BRENNA J CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1100 W 41ST ST, SIOUX FALLS, SD 57105-6325
(605) 782-8525
Mailing address
1100 W 41ST ST, SIOUX FALLS, SD 57105-6325
(605) 782-8525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0722
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0722
SD STATE LICENSE
SD
Enumeration date
05/27/2010
Last updated
05/27/2010
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