Terry Lee Pudwill JR., COTAL
NPI #1356591341 in Leola, South Dakota
Provider Information
- NPI Number
- 1356591341
- Entity Type
- Individual
- Name
- Terry Lee Pudwill JR., COTAL
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTAL
- Enumeration Date
- Sep 25, 2008
- Last Updated
- Sep 25, 2008
Practice Location
- Address
- 11133 369TH AVE
- City
- Leola
- State
- South Dakota
- ZIP Code
- 57456-6506
- Phone
- (605) 530-7308
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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