Individual
JACQUELYN DULKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1313 30TH AVE S, MOORHEAD, MN 56560-5106
(218) 284-3713
Mailing address
4342 15TH AVE S STE 105, FARGO, ND 58103-1125
(701) 936-9495
(952) 222-1994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103637
MN
Other
Enumeration date
05/18/2010
Last updated
05/05/2026
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