Organization
BEYOND BOUNDARIES OCCUPATIONAL THERAPY, INC.
Active
Other names
Beyond Boundaries Therapy & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LADONNA BANNACH OTR/L (CEO)
(701) 356-0062
Entity
Organization
Contact information
Practice address
3244 51ST ST S, FARGO, ND 58104-7179
(701) 356-0062
(701) 356-5412
Mailing address
3244 51ST ST S, FARGO, ND 58104-7179
(701) 356-0062
(701) 356-5412
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110574
HEALTHPARTNERS
MN
05
—
1450938
—
ND
Enumeration date
10/19/2006
Last updated
03/26/2026
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