Individual
SARA ANN PANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
420 QUARTZITE AVE, TEA, SD 57064-2669
(605) 368-4665
Mailing address
420 QUARTZITE AVE, TEA, SD 57064-2669
(605) 368-4665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2176
SD
Other
Enumeration date
11/19/2019
Last updated
08/25/2023
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