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Jessica Dietz, OTR/L

Occupational Therapist in Rapid City, SD. Individual provider (NPI-1).

NPI number1144717455
StatusActive
Last updated in NPPESDec 12, 2018

Details

NPI
1144717455
Entity type
Individual (NPI-1)
Name
Miss Jessica Dietz
Credential
OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Apr 23, 2018
Last updated
Dec 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist1048SDYes
225X00000X Occupational TherapistOT60853908WA

Practice location

7110 Jordan Dr
Rapid City, SD 57702-8738

Phone 307-277-3703

Mailing address

7110 Jordan Dr
Rapid City, SD 57702-8738

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