Individual
KRIS EKSTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2115 S PENDAR LN, SIOUX FALLS, SD 57105-3944
(605) 339-1800
Mailing address
2200 S MAIN AVE, SIOUX FALLS, SD 57105-3830
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0160
SD
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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