Individual
CHRISTA H DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
502 E 2ND ST, DULUTH, MN 55805-1913
(218) 786-8490
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-4222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105086
MN
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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