NPI 1114565207
Kayla Dease, COTA
Practice location
- Address
- 3401 45th St S, Fargo, ND 58104-8970
- Phone
- (701) 356-4384
- Fax
- (701) 356-4383
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1114565207
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Dec 2019
- Record last updated
- 19 Dec 2019
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.