Individual
ISABELLA GRACE NANKIVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
4575 23RD AVE S, SUITE 400, FARGO, ND 58104
(701) 347-1782
Mailing address
4575 23RD AVE S STE 400, FARGO, ND 58104-8783
(701) 347-1782
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
ND
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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