Cynthia L Formo-patton OT

NPI 1154592558 - Occupational Therapist - 225X00000X

NPI Details
NPI 1154592558
Gender Female
Enumeration Date 03/13/2008
Last Updated 03/13/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
900 E BROADWAY AVE
BISMARCK ND, 58501-4520, US
Phone (701) 530-8833
Fax
Business Location
900 E BROADWAY AVE
PO BOX 5510
BISMARCK ND, 58506-5510, US
Phone (701) 530-8833
Fax
Toxanomy
Taxonomy Code 225X00000X
License State North Dakota
License Number 503
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According to our database, Cynthia L Formo-patton OT NPI is 1154592558, taxonomy code is 225X00000X and license number is 503, license state is located at North Dakota. Cynthia L Formo-patton OT physically located at 900 E Broadway Ave, Bismarck ND, 58501-4520. NPI Number Cynthia L Formo-patton OT has the Individual type.

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1154592558 NPI number is provided on an as is basis without warranty of any kind. 1154592558 is maintained by the National Plan & Provider Enumeration System. The contents of Cynthia L Formo-patton OT are for informational purposes only.