Individual
MRS. LISA MICKELSEN-STRUBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 5TH ST SW, HURON, SD 57350
(605) 353-6997
Mailing address
150 5TH ST SW, HURON, SD 57350
(605) 353-6997
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
0066
SD
225XP0200X
Pediatric Occupational Therapist
Primary
0066
SD
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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