Individual
JACE ALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
3835 SUPREME CT NW STE 2, BEMIDJI, MN 56601-4485
(218) 444-8280
Mailing address
3835 SUPREME CT NW STE 2, BEMIDJI, MN 56601-4485
(218) 441-5232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107563
MN
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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