Individual
ABIGAIL ROTHFUSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
(701) 232-2330
Mailing address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
(701) 232-2330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
TEMP OT LICENSE
—
Enumeration date
05/23/2018
Last updated
05/23/2018
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