Individual
SANDRA CAROLINE ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 280-2212
(701) 271-1023
Mailing address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 280-2212
(701) 271-1023
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15
ND
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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