Individual
MADISON K ERTELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-3400
Mailing address
17 LIND BLVD, HARWOOD, ND 58042-4112
(701) 566-4699
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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