Individual
MRS. LISA MIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
101 W 69TH ST, SUITE 105, SIOUX FALLS, SD 57108-2438
(605) 331-0044
(605) 331-0088
Mailing address
101 W 69TH ST, SUITE 105, SIOUX FALLS, SD 57108-2438
(605) 331-0044
(605) 331-0088
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0144
SD
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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