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Individual

MRS. SUMMER JOY VAN ROOYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
115 2ND AVE W, STE 50, WILLISTON, ND 58801-5918
(701) 774-7430
Mailing address
115 2ND AVE W, STE 50, WILLISTON, ND 58801-5918
(701) 774-7430

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1163
ND
225X00000X
Occupational Therapist
2112
CO

Other

Enumeration date
07/13/2012
Last updated
07/13/2012
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