Individual
MRS. PAIGE ELIZABETH ULVOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2951 S 34TH ST, GRAND FORKS, ND 58201-6061
(701) 757-2155
Mailing address
7400 COUNTRYSIDE LN, GRAND FORKS, ND 58201-9247
(701) 330-9084
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1824
ND
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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