Individual
BROOKE GUBRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT/OTR L
Contact information
Practice address
1911 N 11TH ST, BISMARCK, ND 58501-1915
(701) 258-1569
(701) 223-1669
Mailing address
PO BOX 2536, BISMARCK, ND 58502-2536
(701) 258-1569
(701) 223-1669
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1103
ND
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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