NPI 1114382587

Patricia Neidviecky, COTAL

Practitioner Occupational Therapy Assistant Fargo, ND

Practice location

Address: 4575 23rd Ave S STE 400, Fargo, ND 58104-8783
Phone: (701) 347-1782

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 1387 (ND)

Other Occupational Therapy Assistant providers in North Dakota →

Registry record

NPI: 1114382587
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2015
Record last updated: 10 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.