Individual
MRS. CAROL TREACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
30 7TH ST W, DICKINSON, ND 58601-4335
(701) 456-4000
(701) 456-4805
Mailing address
3170 121ST AVE SW, DICKINSON, ND 58601-9729
(701) 290-3849
(701) 456-4805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
997
ND
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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