Individual
JILL THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 UNIVERSITY DR S, FARGO, ND 58103-1775
(701) 239-3536
(701) 478-4877
Mailing address
201 UNIVERSITY DR S, FARGO, ND 58103-1775
(701) 239-3536
(701) 478-4877
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1038
ND
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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