Individual
MALLORY HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 TOWER RD, SUITE 110, DAKOTA DUNES, SD 57049-5011
(605) 217-4330
Mailing address
101 TOWER RD, SUITE 110, DAKOTA DUNES, SD 57049-5011
(605) 217-4330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1919
SD
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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