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Individual

KAYLA DEASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
3401 45TH ST S, FARGO, ND 58104-8970
(701) 356-4384
(701) 356-4383
Mailing address
3401 45TH ST S, FARGO, ND 58104-8970
(701) 356-4384
(701) 356-4383

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
12/19/2019
Last updated
12/19/2019
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