Individual
SHAULEE IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
419 5TH ST NE STE 142, JAMESTOWN, ND 58401-3318
(701) 658-9032
Mailing address
419 5TH ST NE STE 142, JAMESTOWN, ND 58401-3318
(701) 658-9032
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1275
ND
Other
Enumeration date
01/12/2015
Last updated
06/18/2020
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