Individual
MICHELE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1140
Mailing address
401 FERGUS AVE, HENNING, MN 56551-4034
(866) 991-0900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
083893
IA
225X00000X
Occupational Therapist
Primary
101150
MN
Other
Enumeration date
08/16/2016
Last updated
04/05/2019
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