Individual
YVETTE GOURDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
13852 NECK YOKE RD, RAPID CITY, SD 57702-7350
(605) 343-2555
Mailing address
13852 NECK YOKE RD, RAPID CITY, SD 57702-7350
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0519
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5833002
—
SD
Enumeration date
11/21/2006
Last updated
07/08/2007
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