Individual
MRS. BRIANNA LYNN MITTELSTEADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2625 N 19TH ST, BISMARCK, ND 58501-2066
(701) 222-3175
(701) 222-3186
Mailing address
2625 N 19TH ST, BISMARCK, ND 58503-0574
(701) 222-3175
(701) 222-3186
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1459
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1468739
—
ND
Enumeration date
03/22/2016
Last updated
12/18/2024
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