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NPI Code Detail

MEDICARE: MRS. PAMELA JEAN DAHM MS.PT,ATPISMS

MEDICARE: MRS. PAMELA JEAN DAHM MS.PT,ATPISMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist0652SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT 0952OTHERSDDAKOTA CARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528185287
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA JEAN DAHM MS.PT,ATPISMS
Provider Business Mailing Address
First Line : 3013 S 8TH AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-6005
Country : US
Telephone Number : 605-521-1442
Fax Number :
Provider Business Practice Location Address
First Line : 1020 W 18TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-4707
Country : US
Telephone Number : 605-444-9700
Fax Number : 605-444-9701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 07/18/2022

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