Individual
KYLE MOLLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4500 S PRINCE OF PEACE PL, SIOUX FALLS, SD 57103-5830
(605) 322-5665
Mailing address
1916 S SHAW AVE, SIOUX FALLS, SD 57106-4782
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0913
SD
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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