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MRS. DOROTHY NORRISDISHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
7110 JORDAN DR, RAPID CITY, SD 57702
(605) 342-4412
Mailing address
15605 ANTELOPE ROAD, RAPID CITY, SD 57703

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0015
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5832160
SD
Enumeration date
03/26/2007
Last updated
07/09/2007
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