Individual
SALLY ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4674 40TH AVE S STE A, FARGO, ND 58104-4501
(701) 293-7294
(701) 282-9738
Mailing address
4674 40TH AVE S STE A, FARGO, ND 58104-4501
(701) 293-7294
(701) 282-9738
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
202028
MN
224Z00000X
Occupational Therapy Assistant
Primary
738
ND
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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