Individual
REBECCA MARIE WANGBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 151, COLMAN, SD 57017-0151
(605) 929-8623
Mailing address
PO BOX 151, COLMAN, SD 57017-0151
(605) 929-8623
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1236
SD
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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