Individual
MRS. BONNIE LINDA TESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1405 7TH ST S, MOORHEAD, MN 56560-3444
(218) 233-7508
Mailing address
1405 7TH ST S, MOORHEAD, MN 56560-3444
(218) 233-7508
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
68
ND
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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