Individual
MRS. MARNIE HOFTIEZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 11TH ST NE, WATERTOWN, SD 57201-1833
(605) 882-6355
Mailing address
1415 11TH AVE NE, WATERTOWN, SD 57201-6711
(605) 882-0477
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0219
SD
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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