Individual
NORA MALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1461 BROADWAY N, FARGO, ND 58102-2622
(701) 293-6037
Mailing address
1031 29TH AVE W, WEST FARGO, ND 58078-7875
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
02/18/2025
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