Individual
HOLLIE MICHELLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
(701) 364-8078
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
898
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55616
—
ND
Enumeration date
08/26/2008
Last updated
05/11/2010
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