Individual
AMANDA MARIE KLOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ORT/L
Contact information
Practice address
1307 12TH AVE NE, JAMESTOWN, ND 58401-2864
(701) 252-6066
Mailing address
256 3RD AVE N, CARRINGTON, ND 58421-1728
(701) 659-3494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1691
ND
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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