Individual
LOGAN JAIDE TUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 E 20TH ST, SIOUX FALLS, SD 57105-1012
(605) 331-5890
Mailing address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1097
SD
Other
Enumeration date
05/08/2020
Last updated
04/05/2021
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