Individual
KELSEY DETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 CALUMET AVE NW, DE SMET, SD 57231-2114
(605) 854-3327
Mailing address
411 CALUMET AVE NW, DE SMET, SD 57231-2114
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
245A
SD
Other
Enumeration date
12/05/2011
Last updated
04/29/2014
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