Individual
HEATHER DIBRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS OTR/L
Contact information
Practice address
1715 S BROADWAY, MINOT, ND 58701-6304
(701) 500-3582
(844) 272-1182
Mailing address
1715 S BROADWAY, MINOT, ND 58701-6304
(701) 500-3582
(844) 272-1182
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
OT10003
FL
225XE1200X
Ergonomics Occupational Therapist
Primary
OT10003
FL
225XN1300X
Neurorehabilitation Occupational Therapist
OT10003
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
OT10003
FL
225XP0200X
Pediatric Occupational Therapist
OT10003
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887003900
—
FL
Enumeration date
05/10/2006
Last updated
03/23/2015
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