Individual
SANDRA MAE OMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4650 RIMROCK DR, RAPID CITY, SD 57702-8735
(605) 718-5891
Mailing address
4650 RIMROCK DR, RAPID CITY, SD 57702-8735
(605) 718-5891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0347
SD
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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