Individual
MRS. SALLY RAE STIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
4004 S KLEIN AVE, SIOUX FALLS, SD 57106-7230
(651) 341-0399
Mailing address
4004 S KLEIN AVE, SIOUX FALLS, SD 57106-7230
(651) 341-0399
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
002174
IA
225XP0019X
Physical Rehabilitation Occupational Therapist
0736
SD
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
3203
CO
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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