Individual
MRS. REBEKAH GRACE EIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
803 PART ST, LAKE NORDEN, SD 57248
(605) 785-3654
Mailing address
511 3RD AVE S APT 9, CLEAR LAKE, SD 57226-2050
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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