Individual
PAMELA RENEE BARSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1106 N 2ND ST, GROTON, SD 57445-2172
(605) 397-2365
Mailing address
42242 134TH ST, PIERPONT, SD 57468-5136
(605) 492-3129
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
133A
SD
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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