Individual
MICHELLE ANN DUDGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
2016 S WASHINGTON ST, GRAND FORKS, ND 58201-6342
(701) 775-8934
Mailing address
2016 S WASHINGTON ST, GRAND FORKS, ND 58201-6342
(701) 775-8934
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
950
ND
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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