Individual
STEPHANIE E ENGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2400 47TH AVE S, GRAND FORKS, ND 58201-3504
(701) 746-2205
(701) 772-7739
Mailing address
PO BOX 6000, GRAND FORKS, ND 58206-6000
(701) 746-2205
(701) 772-7739
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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