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Individual

KRYSTAL RENE BUTGEREIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT,OTR/L

Contact information

Practice address
101 3RD AVE SW, SUITE 102, MINOT, ND 58701-3880
(701) 857-5286
(701) 857-5694
Mailing address
1 BURDICK EXPY W, MINOT, ND 58701-4406
(701) 857-5286
(701) 857-5694

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT-748
ID
225X00000X
Occupational Therapist
Primary
OT1323
ND

Other

Enumeration date
06/04/2013
Last updated
04/09/2014
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