Individual
JESSICA L DELVACCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DROT, OTR/L
Contact information
Practice address
101 3RD AVE SW STE 102, MINOT, ND 58701-3880
(701) 857-5286
(701) 857-5694
Mailing address
PO BOX 5020, MINOT, ND 58702-5020
(701) 857-5286
(701) 857-5694
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1724
ND
Other
Enumeration date
11/05/2019
Last updated
07/24/2020
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