Individual
BRIANNA RENEE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3175 SIENNA DR S STE 103, FARGO, ND 58104-8910
(701) 532-1906
(701) 532-1896
Mailing address
3175 SIENNA DR S STE 103, FARGO, ND 58104-8910
(701) 532-1906
(701) 532-1896
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2128
ND
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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