Individual
MEAGAN SHILLINGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
604 ASH AVE E, GLEN ULLIN, ND 58631
(763) 689-5385
Mailing address
1828 RIVERWOOD DR, BISMARCK, ND 58504-8986
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
891
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23739
BCBS
ND
05
—
54613
—
ND
Enumeration date
10/24/2006
Last updated
07/08/2007
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