Individual
MRS. ANNETTE DIANNE VOLLAN-KERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MS, PCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0319
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21376
SIOUX VALLEY HEALTH PLAN
SD
Enumeration date
04/12/2007
Last updated
07/08/2007
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