Individual
BROOKE TAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1305 9TH AVE S, FARGO, ND 58103
(701) 446-3170
Mailing address
1305 9TH AVE S, FARGO, ND 58103-2501
(701) 446-3170
(701) 680-2210
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1590
ND
Other
Enumeration date
01/03/2018
Last updated
10/17/2025
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