Individual
JOLYNN KAE DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
164 W 13TH ST, GRAFTON, ND 58237-1826
(701) 352-9398
Mailing address
PO BOX 67, GILBY, ND 58235-0067
(218) 779-7380
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1002
ND
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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