Individual
ASHLEY MATHIASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
516 COOPER AVENUE, SUITE 102, GRAFTON, ND 58237
(701) 352-2574
(701) 352-0188
Mailing address
516 COOPER AVENUE, SUITE 102, GRAFTON, ND 58237
(701) 352-2574
(701) 352-0188
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1303
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56269
—
ND
Enumeration date
12/19/2013
Last updated
11/13/2023
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