Individual
JESSICA WALWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 S CLIFF AVE, SIOUX FALLS, SD 57105-2129
(605) 334-5630
(605) 332-5327
Mailing address
1720 S CLIFF AVE, SIOUX FALLS, SD 57105-2129
(605) 334-5630
(605) 332-5327
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002449
IA
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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