Individual
ALEXANDRA MAKAE LEVORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1702 E MAIN ST STE 103, MANDAN, ND 58554-3818
(701) 415-0000
(833) 969-0195
Mailing address
4501 COLEMAN ST STE 103, BISMARCK, ND 58503-0996
(701) 751-6336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1606
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
OT
ND
Enumeration date
01/23/2018
Last updated
10/18/2022
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