Individual
MACKENZIE SANDRA DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
2600 DEMERS AVE STE 101, GRAND FORKS, ND 58201-4100
(701) 739-5437
(701) 746-9198
Mailing address
2600 DEMERS AVE STE 101, GRAND FORKS, ND 58201-4100
(701) 739-5437
(701) 746-9198
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5785
MN
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
06/16/2020
Last updated
01/05/2021
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