Individual
MARCUS ANTHONY SICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT OTR/L
Contact information
Practice address
2800 MAIN AVE, FARGO, ND 58103-6811
(701) 365-8868
Mailing address
4643 36TH AVE S, FARGO, ND 58104-5180
(701) 260-2005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1668
ND
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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