Organization
UPPER VALLEY SPECIAL EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA JENKINS (DIRECTOR)
(701) 352-2574
Entity
Organization
Contact information
Practice address
516 COOPER AVE, GRAFTON, ND 58237
(701) 352-2574
(701) 352-0188
Mailing address
PO BOX 272, 516 COOPER AVENUE, GRAFTON, ND 58237
(701) 352-2574
(701) 352-0188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19007
—
ND
05
—
ND19007
—
ND
Enumeration date
07/28/2006
Last updated
11/19/2013
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