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Individual

MRS. MARYBETH VILHAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2701 S KIWANIS AVE, SIOUX FALLS, SD 57105-4252
(605) 332-0003
(605) 328-9101
Mailing address
2701 S KIWANIS AVE, SIOUX FALLS, SD 57105-4252
(605) 332-0003
(605) 328-9101

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0483
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4884
SD
Enumeration date
02/09/2007
Last updated
07/09/2007
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