Individual
BRENNA FAITH TESCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1705 3RD AVE W, WILLISTON, ND 58801-4119
(701) 572-6766
Mailing address
1401 45TH ST W # APPT307, WILLISTON, ND 58801-1963
(218) 201-1218
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
395463
ND
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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