Individual
JESSICA SUMPTION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 S STATE ST, ABERDEEN, SD 57401-4527
(605) 622-5000
(605) 622-5255
Mailing address
502 N MAIN ST, ABERDEEN, SD 57401-2840
(605) 622-5000
(605) 622-5255
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
164A
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1061461
CERTIFICATION
—
Enumeration date
10/31/2008
Last updated
10/31/2008
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