Individual
JENNA PERLICHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
101 3RD AVE SW, MINOT, ND 58701-3880
(701) 857-5286
(701) 857-5694
Mailing address
PO BOX 5020, MINOT, ND 58702-5020
(701) 857-5105
(701) 857-5646
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1320
ND
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
1320
ND
Other
Enumeration date
08/09/2016
Last updated
10/23/2017
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