Individual
STEPHANIE STRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1713
ND
225X00000X
Occupational Therapist
427296
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
09/19/2019
Last updated
03/09/2026
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