Individual
MRS. LYNETTE MARIE HANKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
916 MOUNTAIN VIEW RD, RAPID CITY, SD 57702-2521
(605) 343-8577
Mailing address
10300 HOOKER CANYON RD, BLACK HAWK, SD 57718-8660
(605) 791-1493
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
161A
SD
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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