Individual
SARAH JANE VATNSDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3003 32ND AVE S, FARGO, ND 58103-6163
(701) 232-2340
(701) 232-2330
Mailing address
3114 CHELSEA AVE S, MOORHEAD, MN 56560-5318
(701) 361-0953
(701) 232-2330
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
978
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
978
OCCUPATIONAL THERAPY LICENSE
ND
Enumeration date
12/30/2008
Last updated
12/30/2008
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