Individual
AMANDA J CORONATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1719
ND
Other
Enumeration date
06/13/2019
Last updated
03/30/2020
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