Individual
EMMA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4575 23RD AVE S STE 400, FARGO, ND 58104-8783
(701) 347-1782
Mailing address
5800 38TH ST S APT 303, FARGO, ND 58104-5592
(605) 520-9441
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2243
ND
Other
Enumeration date
05/12/2025
Last updated
09/22/2025
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