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Individual

STEVEN NICHOLAS HERTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSOT, OTR/L

Contact information

Practice address
4711 45TH ST S STE 103, FARGO, ND 58104-5510
(701) 222-3175
(701) 222-3186
Mailing address
2625 N 19TH ST, BISMARCK, ND 58503-0574
(701) 222-3175
(701) 222-3186

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
108122
MN
225X00000X
Occupational Therapist
Primary
1787
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1480113
ND
Enumeration date
03/16/2019
Last updated
05/14/2026
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