Individual
HALEY LARAE WAHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 234-2000
Mailing address
4709 51ST AVE S, FARGO, ND 58104-6024
(701) 840-2276
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
105234
MN
225X00000X
Occupational Therapist
Primary
1496
ND
Other
Enumeration date
09/20/2016
Last updated
09/29/2020
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