Individual
HOLLY OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3244 51ST ST S, FARGO, ND 58104-7179
(701) 356-0062
(701) 356-5412
Mailing address
3244 51ST ST S, FARGO, ND 58104-7179
(701) 356-0062
(701) 356-5412
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1486
ND
225XP0200X
Pediatric Occupational Therapist
OT60034778
WA
Other
Enumeration date
10/23/2012
Last updated
04/30/2025
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