Individual
LORI AGNEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
100 ELM AVE, NEW SALEM, ND 58563-4031
(701) 843-7942
(701) 843-8376
Mailing address
100 ELM AVE, NEW SALEM, ND 58563-4031
(701) 843-8494
(701) 843-8494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
755
ND
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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