Individual
ALAINA JO WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 KUSTER CT, GRAND FORKS, ND 58201-3909
(701) 740-3900
Mailing address
1504 KUSTER CT, GRAND FORKS, ND 58201-3909
(701) 740-3900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2008005005
MO
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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