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Individual

KRISTINA NITSCHKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA OTR/L

Contact information

Practice address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
(701) 252-3850
(701) 952-5154
Mailing address
701 3RD ST NW, JAMESTOWN, ND 58401
(701) 952-5142
(701) 952-1450

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
896
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1462279
ND
05
54579
ND
Enumeration date
03/14/2007
Last updated
12/11/2018
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