Individual
CHANTEL MARIE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3900 S CATHY AVE, SIOUX FALLS, SD 57106-1518
(605) 361-8822
Mailing address
46737 236TH ST, COLMAN, SD 57017-6530
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
270A
SD
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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