Individual
JENIFER LYNN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Mailing address
520 ALTA VISTA DR, RAPID CITY, SD 57701-2320
(605) 490-8883
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2131
SD
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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