NPI 1760042329
Justine Katherine Sanderson, COTAL
Practice location
- Address
- 500 Vermillion St, Centerville, SD 57014-2168
- Phone
- (605) 552-0500
- Mailing address
- 320 N Lawler St APT 403, Canton, SD 57013-1931
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1760042329
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Jun 2019
- Record last updated
- 17 Jun 2019
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.