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Individual

MELISSA TWIDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
508 9TH ST N, WAHPETON, ND 58075-4098
(701) 642-5499
Mailing address
1434 ANDREWS AVE, BRECKENRIDGE, MN 56520-1819
(218) 643-1837

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
750
ND

Other

Enumeration date
09/09/2014
Last updated
09/09/2014
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