Individual
JULIE ANN SANDVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4501 COLEMAN ST STE 103, BISMARCK, ND 58503-0996
(701) 751-6336
Mailing address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
104223
CA
225X00000X
Occupational Therapist
OT60282924
WA
225X00000X
Occupational Therapist
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463044
—
ND
Enumeration date
05/21/2012
Last updated
05/01/2018
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