Beth M Micke, OT

NPI #1023004199 in Sioux Falls, South Dakota

Provider Information

NPI Number: 1023004199
Entity Type: Individual
Name: Beth M Micke, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Sep 23, 2005
Last Updated: Mar 31, 2008

Practice Location

Address: 2501 W 26TH ST
City: Sioux Falls
State: South Dakota
ZIP Code: 57105-2446
Phone: (605) 782-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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