Individual
TREENA RADERMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
11 NORTH MAIN ST, GWINNER, ND 58040-0586
(701) 678-2244
(701) 678-2210
Mailing address
11 NORTH MAIN ST, GWINNER, ND 58040-0586
(701) 678-2244
(701) 678-2210
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
619
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51062
—
ND
Enumeration date
06/30/2006
Last updated
02/22/2017
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