Individual
WANDA DENISE HETTWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
330 3RD AVE E, WEST FARGO, ND 58078-1800
(701) 356-2020
(701) 356-2029
Mailing address
330 3RD AVE E, WEST FARGO, ND 58078-1800
(701) 356-2020
(701) 356-2029
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
149
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51368
—
ND
Enumeration date
04/16/2008
Last updated
04/16/2008
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