Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 0294 | SD |
Y | 225XH1200X | Occupational Therapist - Hand | 0294 | SD |
NPI | 1154573954 |
---|---|
Provider Name | Rhonda Lockwood |
First Address | Sioux Falls, SD 57105-2135 |
Second Address | Sioux Falls, SD 57105-2135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2008 |
Last Update Date | 13/10/2008 |