Individual
BROOKLYN WIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4575 23RD AVE S STE 400, FARGO, ND 58104-8783
(701) 347-1782
(701) 404-8274
Mailing address
4575 23RD AVE S STE 400, FARGO, ND 58104-8783
(701) 347-1782
(701) 404-8274
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2244
ND
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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