Individual
MS. SIMONE ELAINE BARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1515 2ND AVE W, WILLISTON, ND 58801-4108
(701) 572-6766
Mailing address
2425 24TH AVE W, APT 301, WILLISTON, ND 58801-3206
(910) 308-1588
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1372
ND
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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