Individual
BONNIE WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 N 26TH ST, BISMARCK, ND 58501-3109
(701) 323-1999
Mailing address
1021 N 26TH ST, BISMARCK, ND 58501-3109
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
438
ND
Other
Enumeration date
09/03/2008
Last updated
09/04/2008
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