Individual
KASEY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1103 S 2ND ST, MILBANK, SD 57252-3304
(605) 432-4556
Mailing address
1103 S 2ND ST, MILBANK, SD 57252-3304
(605) 432-4556
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
368A
SD
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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