JESSICA ANN AILIE OTR
Individual Provider (NPI-1)
Active
Occupational Therapist
Provider Information
- NPI Number
1902197395- Provider Type
- Individual Provider (NPI-1)
- Credentials
- OTR
- Status
- Active
Contact & Location
- Address
- 1027 WASHINGTON AVE, DETROIT LAKES, MN, 565013409
- Phone
- (218) 847-5611
Specialties & Taxonomies
Occupational Therapist
Primary License: MN #104020
All Addresses
MAILING
1702 UNIVERSITY DR S
FARGO, ND, 581034940