JESSICA DIETZ

RAPID CITY, SD
NPI1144717455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SD  1048)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: WA  OT60853908)
Enumeration Date2018-04-23
Last Update Date2018-12-12
Business Address
MISS JESSICA DIETZ OTR/L
7110 JORDAN DR
RAPID CITY, SD 57702-8738
Phone number: 307-277-3703
Mailing Address
MISS JESSICA DIETZ OTR/L
7110 JORDAN DR
RAPID CITY, SD 57702-8738
Phone number: