Individual
MISS CASSANDRA JAE BROTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
420 3RD ST SE, MINOT, ND 58701-4410
(701) 857-2719
Mailing address
1410 30TH AVE NW APT 1208, MINOT, ND 58703-5073
(701) 720-1468
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1198
ND
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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