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Individual

AMY CERMAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2425 HILLVIEW AVE, BISMARCK, ND 58501-3056
(763) 689-5385
Mailing address
2008 N 8TH ST, BISMARCK, ND 58501-1833

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
721
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22122
BLUE CROSS BLUE SHIELD
ND
05
54089
ND
Enumeration date
09/26/2006
Last updated
07/09/2007
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