Individual
STEPHANIE EWERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 S MABELLE AVE, FERGUS FALLS, MN 56537-3723
(218) 998-1500
Mailing address
1131 S MABELLE AVE, FERGUS FALLS, MN 56537-3723
(218) 998-1500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200370
MN
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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