Individual
JUSTINE KATHERINE SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
500 VERMILLION ST, CENTERVILLE, SD 57014-2168
(605) 552-0500
Mailing address
320 N LAWLER ST APT 403, CANTON, SD 57013-1931
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
SD
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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