Individual
HEIDI NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2000
Mailing address
2733 47TH ST S APT 305, FARGO, ND 58104-8450
(218) 396-0437
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1783
ND
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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