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1811137615
LISA MIX
SIOUX FALLS, SD
NPI
1811137615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: SD 0144)
Enumeration Date
2009-03-06
Last Update Date
2009-03-06
Business Address
Mrs. LISA MIX OTR/L
101 W 69TH ST SUITE 105
SIOUX FALLS, SD 57108-2438
Phone number: 605-331-0044
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Mailing Address
Mrs. LISA MIX OTR/L
101 W 69TH ST SUITE 105
SIOUX FALLS, SD 57108-2438
Phone number: 605-331-0044
Copy
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