Individual
MRS. JENNA LAMPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 CHARLES ST, DEADWOOD, SD 57732-1303
(605) 722-6101
Mailing address
61 CHARLES ST, DEADWOOD, SD 57732-1303
(605) 722-6101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1035
SD
Other
Enumeration date
06/17/2014
Last updated
01/15/2018
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