Individual
MRS. SUSAN SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, OTL
Contact information
Practice address
106B DIVISION AVENUE NORTH, CAVALIER, ND 58220
(701) 265-8080
(701) 265-8082
Mailing address
1214 12TH ST, LANGDON, ND 58249-2011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
137
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137
NDSBOT
ND
05
—
58573
—
ND
01
—
AA098590
NBCOT
ND
Enumeration date
05/01/2007
Last updated
07/08/2007
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