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Individual

CHERYL B CROWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
(701) 364-8078

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
687
ND
225XE1200X
Ergonomics Occupational Therapist
687
ND
225XH1200X
Hand Occupational Therapist
687
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18210
NDBS #
ND
01
21954
NDBS #
ND
05
51602
ND
01
60G80CR
MNBS #
ND
01
6401675
MEDICA #
ND
01
6402287
MEDICA #
ND
01
6403824
MEDICA #
ND
01
70D29CR
MNBS #
ND
01
974267
AMERICA'S PPO/ARAZ #
ND
01
DA9011015523
PREFERRED ONE #
ND
01
HP33434
HEALTHPARTNERS #
ND
Enumeration date
07/10/2006
Last updated
04/23/2012
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