Individual
KRISTINA MICHELLE FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1300 S COLUMBIA RD, GRAND FORKS, ND 58201
(701) 780-2300
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1094
ND
Other
Enumeration date
01/05/2010
Last updated
08/20/2018
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