Individual
KIAH NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1702 E MAIN ST STE 103, MANDAN, ND 58554-3818
(701) 415-0000
(833) 969-0195
Mailing address
1702 E MAIN ST STE 103, MANDAN, ND 58554-3818
(701) 415-0000
(833) 969-0195
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1769
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1480347
—
ND
Enumeration date
03/06/2020
Last updated
04/09/2025
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