Individual
MRS. KATIE RAE METTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1550 WOODRIDGE LN, WEST FARGO, ND 58078-4032
(701) 371-0233
Mailing address
1550 WOODRIDGE LN, WEST FARGO, ND 58078-4032
(701) 371-0233
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
102640
MN
225X00000X
Occupational Therapist
Primary
834
ND
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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