Organization
MIRANDA LYNN FREESEMANN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA LYNN FREESEMANN MS, OTR/L (OCCUPATIONAL THERAPIST)
(605) 212-7428
Entity
Organization
Contact information
Practice address
2701 S SANDSTONE CIR, SIOUX FALLS, SD 57103-6511
(605) 212-7428
Mailing address
2701 S SANDSTONE CIR, SIOUX FALLS, SD 57103-6511
(605) 212-7428
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0869
SD
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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