Individual
KATHRYN ELIZABETH COLLEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4500 36TH AVE S STE 200, FARGO, ND 58104-5275
(701) 532-1507
Mailing address
970 ALBERT DR W, WEST FARGO, ND 58078-8537
(701) 200-6653
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2031
ND
Other
Enumeration date
07/31/2023
Last updated
03/21/2024
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