KELLY LERVICK

BISMARCK, ND
NPI1447620331
Former NameKELLY WOLFE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ND  56)
Enumeration Date2015-10-05
Last Update Date2019-12-11
Business Address
KELLY LERVICK COTA
4530 NORTHERN SKY DR
BISMARCK, ND 58503-8534
Phone number: 701-751-6336
Mailing Address
KELLY LERVICK COTA
4530 NORTHERN SKY DR
BISMARCK, ND 58503-8534
Phone number: 701-751-6336
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