Organization
SHANA CERNY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA L CERNY OTD (OTR/L)
(605) 759-2291
Entity
Organization
Contact information
Practice address
119 N YALE ST, VERMILLION, SD 57069-2720
(605) 759-2291
Mailing address
119 N YALE ST, VERMILLION, SD 57069-2720
(605) 759-2291
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0797
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831473990
—
IA
05
—
1831473990
—
SD
Enumeration date
06/26/2014
Last updated
06/26/2014
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