Individual
AMANDA NESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4255 30TH AVE S, FARGO, ND 58104-8427
(701) 478-8950
Mailing address
3709 HARRISON ST S, FARGO, ND 58104-7554
(701) 793-6805
(701) 478-8974
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
881
ND
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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