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Individual

SUZANNE MARIE BOSECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3175 SIENNA DR S STE 103, FARGO, ND 58104-8910
(701) 532-1906
(701) 532-1896
Mailing address
3175 SIENNA DR S STE 103, FARGO, ND 58104-8910
(701) 532-1906
(701) 532-1896

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056009106
IL
225X00000X
Occupational Therapist
Primary
ND

Other

Enumeration date
09/02/2010
Last updated
02/15/2023
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