Individual
RENAE A FETTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
222 N 4TH ST, BISMARCK, ND 58501-4099
(701) 390-9494
Mailing address
222 N 4TH ST, BISMARCK, ND 58501-4099
(701) 226-0074
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1122
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376501262
—
ND
Enumeration date
01/03/2013
Last updated
05/04/2026
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