Organization
FM WELLNESS CONNECTION, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LANDA OTRL (OWNER)
(701) 356-0062
Entity
Organization
Contact information
Practice address
1207 PRAIRIE PKWY, STE. A, WEST FARGO, ND 58078-3145
(701) 356-0062
(701) 356-5412
Mailing address
1207 PRAIRIE PKWY, STE. A, WEST FARGO, ND 58078-3145
(701) 356-0062
(701) 356-5412
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54424
—
ND
Enumeration date
01/03/2007
Last updated
03/11/2008
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