KIMBERLY SUE VAN LOAN

RAPID CITY, SD
NPI1770716383
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SD  0704)
Enumeration Date2009-08-29
Last Update Date2014-09-15
Business Address
Mrs. KIMBERLY SUE VAN LOAN MS, OTR/L, CLT
3064 COVINGTON ST STE 104
RAPID CITY, SD 57703-7208
Phone number: 605-787-2719
Mailing Address
Mrs. KIMBERLY SUE VAN LOAN MS, OTR/L, CLT
3064 COVINGTON ST STE 104
RAPID CITY, SD 57703-7208
Phone number: 605-787-2719