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Individual

BAILEY KESSLER BORAAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
1138 N 3RD ST, BISMARCK, ND 58501-3556
(701) 751-4115
(701) 223-1669
Mailing address
PO BOX 2536, BISMARCK, ND 58502-2536
(701) 751-4115
(701) 223-1669

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1785
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1785
ND BOARD OF OCCUPATIONAL THERAPY
ND
Enumeration date
05/14/2020
Last updated
05/14/2020
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