Individual
MEGAN LEE HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
3060 FRONTIER WAY S, FARGO, ND 58104
(701) 232-2340
(701) 282-9738
Mailing address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
(701) 282-9738
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
103760
MN
225X00000X
Occupational Therapist
Primary
1098
ND
Other
Enumeration date
08/25/2009
Last updated
04/30/2019
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