Individual
AMANDA KAY JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 322-5150
Mailing address
702 PAR TEE DR, HARTFORD, SD 57033-2372
(605) 204-0612
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
SD
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
01/02/2020
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