Individual
MICHELLE MOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 13TH ST N, NEW ROCKFORD, ND 58356-1442
(701) 741-9992
(701) 947-2290
Mailing address
215 13TH ST N SUITE 117, NEW ROCKFORD, ND 58356-5268
(888) 878-7978
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
899
ND
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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