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Individual

MONICA LYNN SEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS. OTR/L

Contact information

Practice address
1415 W DAKOTA PKWY, WILLISTON, ND 58801-3885
(701) 572-6757
Mailing address
2711 19TH AVE W, WILLISTON, ND 58801-2421
(701) 629-1982

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1020
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
55118
ND
Enumeration date
11/08/2007
Last updated
11/08/2007
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