Individual
SIMON ROBERT KASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 36TH AVE S STE 200, FARGO, ND 58104-5275
(701) 532-1507
(701) 532-1529
Mailing address
4500 36TH AVE S STE 200, FARGO, ND 58104-5275
(701) 532-1507
(701) 532-1529
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1969
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1969
—
ND
Enumeration date
08/19/2022
Last updated
04/03/2025
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