Individual
BONITA MAE KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 44TH AVE S, UNIT 120D, GRAND FORKS, ND 58201-3434
(701) 732-2947
Mailing address
1451 44TH AVE S, UNIT 120D, GRAND FORKS, ND 58201-3434
(701) 732-2947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
331
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01042277
PREFERRED ONE
—
01
—
115081
HEALTH PARTNERS
—
01
—
2476885
UNITED HEALTH CARE
—
01
—
27436
BC/BS
ND
01
—
464L9KN
BC/BS
MN
05
—
51347
—
ND
01
—
64-06889
MEDICA
—
Enumeration date
10/10/2006
Last updated
11/29/2007
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