Individual
HALLIE LONGTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2600 DEMERS AVE STE 101, GRAND FORKS, ND 58201-4100
(701) 757-3045
(701) 757-3046
Mailing address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2009
ND
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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