Individual
MADISON HERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 47TH AVE S, GRAND FORKS, ND 58201-3405
(701) 746-2200
Mailing address
703 S 10TH ST, GRAND FORKS, ND 58201-4431
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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