Roni Petik, RPT

NPI #1003082629 in Custer, South Dakota

Provider Information

NPI Number: 1003082629
Entity Type: Individual
Name: Roni Petik, RPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: RPT
Enumeration Date: May 3, 2008
Last Updated: May 3, 2008

Practice Location

Address: 1039 MONTGOMERY ST
City: Custer
State: South Dakota
ZIP Code: 57730-1304
Phone: (605) 673-2229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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