Individual
AMY JO CASAVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S MAIN AVE, RUGBY, ND 58368-2118
(701) 776-5261
(701) 776-5448
Mailing address
208 9TH ST SE, RUGBY, ND 58368-2209
(701) 776-5487
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
798
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54745
—
ND
Enumeration date
05/15/2007
Last updated
07/08/2007
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