Individual
MISS MELISSA DAWN SUNDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
809 4TH AVE NE, ABERDEEN, SD 57401-3028
(605) 216-4853
Mailing address
809 4TH AVE NE, ABERDEEN, SD 57401-3028
(605) 216-4853
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
177A
SD
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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