Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 087155 | IA |
NPI | 1023503406 |
---|---|
Provider Name | Rhonda Jean Cyre |
First Address | Watertown, SD 57201 |
Second Address | Watertown, SD 57201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2018 |
Last Update Date | 27/06/2018 |