Individual
JOAN F MUTCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1440 N MAIN ST, SPEARFISH, SD 57783-1505
(605) 644-4000
Mailing address
PO BOX 3450, RAPID CITY, SD 57709-3450
(605) 644-4000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0005
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005
LICENSE
SD
Enumeration date
03/04/2009
Last updated
03/04/2009
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