Nicole Rae Willis, OT
NPI #1235331232 in Grand Forks, North Dakota
Provider Information
- NPI Number
- 1235331232
- Entity Type
- Individual
- Name
- Nicole Rae Willis, OT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OT
- Enumeration Date
- Jun 1, 2007
- Last Updated
- Mar 6, 2019
Practice Location
- Address
- 4500 S WASHINGTON ST - ALTRU SPECIALTY CENTER
- City
- Grand Forks
- State
- North Dakota
- ZIP Code
- 58201
- Phone
- (701) 780-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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