Individual
DALE GOODBRANDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2200 LIBRARY CIR, GRAND FORKS, ND 58201-6326
(701) 757-2155
(701) 757-2156
Mailing address
2951 S 34TH ST, GRAND FORKS, ND 58201-6061
(701) 772-3851
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
ND
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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