Individual
ALEXANDRA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 WASHINGTON AVE, ORTONVILLE, MN 56278-4840
(320) 839-4090
Mailing address
2829 UNIVERSITY DRIVE S STE 202, FARGO, ND 58013-4840
(701) 478-7868
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1420
ND
Other
Enumeration date
12/15/2015
Last updated
02/10/2017
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