Individual
MARIAH M ISOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106519
MN
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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