Beth M Micke OT

NPI 1023004199 - Occupational Therapist - 225X00000X

NPI Details
NPI 1023004199
Gender Female
Enumeration Date 09/23/2005
Last Updated 03/31/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
2501 W 26TH ST
SIOUX FALLS SD, 57105-2446, US
Phone (605) 782-2300
Fax (605) 782-2301
Business Location
2501 W 26TH ST
SIOUX FALLS SD, 57105-2446, US
Phone (605) 782-2300
Fax (605) 782-2301
Toxanomy
Taxonomy Code 225X00000X
License State South Dakota
License Number 0464
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According to our database, Beth M Micke OT NPI is 1023004199, taxonomy code is 225X00000X and license number is 0464, license state is located at South Dakota. Beth M Micke OT physically located at 2501 W 26th St, Sioux Falls SD, 57105-2446. NPI Number Beth M Micke OT has the Individual type.

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1023004199 NPI number is provided on an as is basis without warranty of any kind. 1023004199 is maintained by the National Plan & Provider Enumeration System. The contents of Beth M Micke OT are for informational purposes only.