Individual
SARA GUSAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
701 W 6TH ST, GRAFTON, ND 58237-1379
(701) 352-4545
Mailing address
315 1ST ST SE, LAMOURE, ND 58458-7132
(701) 883-5363
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1569
ND
Other
Enumeration date
07/13/2017
Last updated
01/02/2020
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