Individual
JENNY REHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
7110 JORDAN DR, RAPID CITY, SD 57702-8738
(605) 342-4412
Mailing address
7110 JORDAN DR, RAPID CITY, SD 57702-8738
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0348
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0348
STATE LICENSE NUMBER
SD
Enumeration date
01/30/2008
Last updated
01/30/2008
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