| NPI | 1316785843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARICE MARIE FRAIZER Office Manger 701-837-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |