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Individual

MS. CHRISTINA MAE SWENDRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTRL

Contact information

Practice address
4342 15TH AVE S STE 105, FARGO, ND 58103-1125
(701) 936-9495
(952) 222-1994
Mailing address
4342 15TH AVE S STE 105, FARGO, ND 58103-1125
(701) 936-9495
(952) 222-1994

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1032
ND
225X00000X
Occupational Therapist
103239
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
56176
ND
Enumeration date
06/01/2007
Last updated
07/28/2023
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