NPI 1639750755

Caroline Ann Spacek, CFO

Practitioner Orthotic Fitter Fargo, ND

Practice location

Address: 3362 35th Ave S, Fargo, ND 58104-8835
Phone: (701) 634-6240

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence CFO05278 (ND)

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Registry record

NPI: 1639750755
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2021
Record last updated: 20 Apr 2021

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.