Individual
SHANA LESLIE HEGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4152 30TH AVE S STE 102, FARGO, ND 58104-8403
(701) 364-2663
(701) 364-2660
Mailing address
4152 30TH AVE S STE 102, FARGO, ND 58104-8403
(701) 364-2663
(701) 364-2660
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1547
ND
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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