Individual
SHALEE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
29238 463RD AVE, CENTERVILLE, SD 57014-6704
(605) 366-2018
Mailing address
29238 463RD AVE, CENTERVILLE, SD 57014-6704
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0821
SD
Other
Enumeration date
04/27/2012
Last updated
11/08/2012
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