Individual
GOMATHI KANNIAPPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 S MARION RD, APT-204, SIOUX FALLS, SD 57106-0411
(605) 413-4226
Mailing address
1400 S MARION RD, APT-204, SIOUX FALLS, SD 57106-0411
(605) 413-4226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0926
SD
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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