Individual
JILL DWORSHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2625 N 19TH ST, BISMARCK, ND 58503-0574
(701) 222-3175
(701) 222-3186
Mailing address
2625 N 19TH ST, BISMARCK, ND 58503-0574
(701) 222-3175
(701) 222-3186
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0617
SD
225X00000X
Occupational Therapist
Primary
1367
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1470321
—
ND
Enumeration date
09/24/2015
Last updated
02/13/2024
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