Individual
ILSE MARIELLE CLAUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2512 S WASHINGTON ST STE C, GRAND FORKS, ND 58201-6772
(701) 330-4818
(701) 335-7242
Mailing address
2515C S WASHINGTON ST, GRAND FORKS, ND 58201-6702
(701) 330-4818
(701) 335-7242
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1707
ND
Other
Enumeration date
07/03/2019
Last updated
01/14/2020
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