Individual
KRISTIN MURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1207 PRAIRIE PKWY, SUITE A, WEST FARGO, ND 58078-3145
(701) 356-0062
(701) 356-5412
Mailing address
1207 PRAIRIE PKWY, SUITE A, WEST FARGO, ND 58078-3145
(701) 356-0062
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1026
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55095
—
ND
01
—
MUR28692
BCBS OF ND
ND
Enumeration date
08/06/2007
Last updated
03/11/2008
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