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Individual

MRS. RENEE KATHERINA FORSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2500 ARROWHEAD DR, RAPID CITY, SD 57702-4225
(605) 348-0285
Mailing address
7500 ANGUS LN, BLACK HAWK, SD 57718-9650

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
104A
SD
224Z00000X
Occupational Therapy Assistant
3255
AZ

Other

Enumeration date
09/27/2007
Last updated
09/27/2007
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