TERRY LEE PUDWILL

LEOLA, SD
NPI1356591341
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2008-09-25
Last Update Date2008-09-25
Business Address
TERRY LEE PUDWILL COTAL
11133 369TH AVE
LEOLA, SD 57456-6506
Phone number: 605-530-7308
Mailing Address
TERRY LEE PUDWILL COTAL
11133 369TH AVE
LEOLA, SD 57456-6506
Phone number: 605-530-7308