Gabriel T Evenson MOTRL

NPI 1083742597 - Occupational Therapist - 225X00000X

NPI Details
NPI 1083742597
Gender Male
Enumeration Date 02/28/2007
Last Updated 07/18/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3321 4TH AVE. S
SUITE D
FARGO ND, 58103, US
Phone (701) 200-8181
Fax (701) 365-8585
Business Location
4425 47TH ST. S
FARGO ND, 58104, US
Phone (701) 200-8181
Fax
Toxanomy
Taxonomy Code 225X00000X
License State North Dakota
License Number 995
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According to our database, Gabriel T Evenson MOTRL NPI is 1083742597, taxonomy code is 225X00000X and license number is 995, license state is located at North Dakota. Gabriel T Evenson MOTRL physically located at 3321 4th Ave. S, Fargo ND, 58103. NPI Number Gabriel T Evenson MOTRL has the Individual type.

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1083742597 NPI number is provided on an as is basis without warranty of any kind. 1083742597 is maintained by the National Plan & Provider Enumeration System. The contents of Gabriel T Evenson MOTRL are for informational purposes only.