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Individual

ALEXIS MARIE HANEVOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T

Contact information

Practice address
625 DEMERS AVE, EAST GRAND FORKS, MN 56721-1833
(218) 773-5858
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106041
MN
225X00000X
Occupational Therapist
1738
ND

Other

Enumeration date
09/08/2019
Last updated
02/13/2025
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