Individual
JESSICA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
213 5TH ST NE, DEVILS LAKE, ND 58301-2425
(701) 662-2216
(701) 401-0104
Mailing address
213 5TH ST NE, DEVILS LAKE, ND 58301-2425
(701) 662-2216
(701) 401-0104
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
918
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24546
BCBS
ND
05
—
54829
—
ND
Enumeration date
10/19/2006
Last updated
09/12/2025
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