Individual
MARIAH HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4501 COLEMAN ST STE 103, BISMARCK, ND 58503-0996
(701) 751-6336
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
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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