Individual
JAELYN LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 FAIRWAY ST, DICKINSON, ND 58601-2639
(701) 456-4000
Mailing address
2915 HILLSIDE RD, MANDAN, ND 58554-1418
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1952
ND
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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