Individual
MACI BAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4152 30TH AVE S, FARGO, ND 58104-8524
(701) 364-9070
Mailing address
2200 20TH ST SW, JAMESTOWN, ND 58401-7500
(701) 252-3850
(701) 952-1450
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
ND
Other
Enumeration date
06/24/2025
Last updated
01/21/2026
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