Individual
TODD DAVID FREITAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2011 LOVETT AVE, BISMARCK, ND 58504-6738
(701) 222-0783
(701) 222-3911
Mailing address
2011 LOVETT AVE, BISMARCK, ND 58504-6738
(701) 222-0783
(701) 222-3911
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
20933
ND
171WH0202X
Home Modifications Contractor
Primary
20933
ND
171WH0202X
Home Modifications Contractor
—
ND
224ZE0001X
Environmental Modification Occupational Therapy Assistant
1450
ND
224ZE0001X
Environmental Modification Occupational Therapy Assistant
4665
MT
Other
Enumeration date
04/08/2020
Last updated
06/01/2020
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