Individual
EMILEE LARISSA RATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1815 S RENO DR, BISMARCK, ND 58504-7061
(701) 202-7215
Mailing address
1815 S RENO DR, BISMARCK, ND 58504-7061
(701) 202-7215
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
60819142
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
501982477
TRICARE
ND
Enumeration date
05/04/2018
Last updated
05/04/2018
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