Individual
AMANDA DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-8230
Mailing address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2120
SD
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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