Individual
MRS. LAUREN ERICA FOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
911 19TH AVE S, FARGO, ND 58103-4928
(701) 388-1592
Mailing address
911 19TH AVE S, FARGO, ND 58103
(701) 388-1592
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1877
ND
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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