Individual
MS. MEAGHAN LAVERNE WURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4141 31ST AVE S STE 104, FARGO, ND 58104-8778
(701) 353-1488
(213) 867-2798
Mailing address
4141 31ST AVE S STE 104, FARGO, ND 58104-8778
(701) 353-1488
(213) 867-2798
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
106641
MN
225X00000X
Occupational Therapist
Primary
1909
ND
225XM0800X
Mental Health Occupational Therapist
106641
MN
225XM0800X
Mental Health Occupational Therapist
1909
ND
Other
Enumeration date
06/15/2021
Last updated
10/13/2025
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