Individual
JODI STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 S 2ND ST, MILBANK, SD 57252-3304
(605) 432-4556
Mailing address
306 HIGHLAND DR, MILBANK, SD 57252-3616
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/11/2019
Last updated
05/11/2019
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