Individual
MORIAH NESSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
683 STATE AVE, DICKINSON, ND 58601-4660
(701) 483-9400
Mailing address
230 HUSSA ST, LINDEN, NJ 07036-3022
(908) 967-3556
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119009254
VA
225X00000X
Occupational Therapist
Primary
1904
ND
225X00000X
Occupational Therapist
46TR01023700
NJ
Other
Enumeration date
12/11/2021
Last updated
12/11/2021
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