Individual
MR. KEVIN SANDNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 234-2000
Mailing address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 234-2000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
770
ND
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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