STACI RAE BLEECKER

LISBON, ND
NPI1023556131
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ND  1260)
Enumeration Date2017-02-09
Last Update Date2019-11-12
Business Address
MISS STACI RAE BLEECKER COTA/L
905 MAIN ST
LISBON, ND 58054-4334
Phone number: 701-683-6402
Mailing Address
MISS STACI RAE BLEECKER COTA/L
11 N MAIN ST
GWINNER, ND 58040-4001
Phone number: 701-678-2244