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Individual

SHARI T WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-5000
Mailing address
PO BOX 5045, ATTN: P.F.S. PROV ENROLLMENT, SIOUX FALLS, SD 57117-5045
(605) 322-6400
(605) 322-6499

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0124
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025727400
NE
05
1801177191
IA
05
1801177191
SD
Enumeration date
08/31/2011
Last updated
02/23/2012
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