CARISSA PONCELET

DELL RAPIDS, SD
NPI1245501295
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IA  000815)
Enumeration Date2012-01-23
Last Update Date2012-01-23
Business Address
-- CARISSA PONCELET
706 EAGLE RUN
DELL RAPIDS, SD 57022-2142
Phone number: 605-428-5851
Mailing Address
-- CARISSA PONCELET
4300 E WALKER WAY
SIOUX FALLS, SD 57103-1148
Phone number: 605-480-0641