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Individual

REBECCA ANN GREBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
2501 W 26TH ST, SIOUX FALLS, SD 57105-2446
(605) 782-2300
(605) 782-2401
Mailing address
2501 W 26TH ST, SIOUX FALLS, SD 57105-2446
(605) 782-2300

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1018904
SD
225XP0200X
Pediatric Occupational Therapist
Primary
1018904
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
58595
SANFORD HEALTH PLAN
SD
Enumeration date
04/09/2008
Last updated
04/09/2008
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