Whalio Doctors

NPI 1003082629

Roni Petik, RPT

Practitioner Occupational Therapist Custer, SD

Practice location

Address
1039 Montgomery St, Custer, SD 57730-1304
Phone
(605) 673-2229
Mailing address
PO Box 3450, Rapid City, SD 57709-3450

Registered specialties

Occupational Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 0248 (SD)

Registry record

NPI
1003082629
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 May 2008
Record last updated
3 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.