Individual
MRS. ANISA MATHSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
600 MAIN ST S, MINOT, ND 58701-4499
(701) 852-1255
Mailing address
600 MAIN ST S, MINOT, ND 58701-4499
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2011
ND
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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