| Jenna Pruitt, OTD, OTR/L | |
|
113 Comanche Rd, Fort Meade, SD 57741-1002 | |
| (605) 347-2511 | |
| Not Available |
| Full Name | Jenna Pruitt |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 113 Comanche Rd, Fort Meade, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497396618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTP-OT-LIC-5358 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Pruitt, OTD, OTR/L 113 Comanche Rd, Fort Meade, SD 57741-1002 Ph: () - | Jenna Pruitt, OTD, OTR/L 113 Comanche Rd, Fort Meade, SD 57741-1002 Ph: (605) 347-2511 |
Ms. June Alene Holtan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-720-7167 Fax: 605-720-7249 | |
Mr. Kyle Doerges, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 800-743-1070 |