Axis Clinic PC

NPI #1518905512 in Grand Forks, North Dakota

Provider Information

NPI Number
1518905512
Entity Type
Organization
Organization Name
Axis Clinic PC
Primary Specialty
Occupational Therapist
Enumeration Date
Jun 2, 2006
Last Updated
Dec 26, 2007

Practice Location

Address
1451 44TH AVE S STE 120D
ZIP Code
58201-3434
Phone
(701) 732-2947

Authorized Official

Name
LANCE M NORMAN, OTR/L, CHT
Title
PRESIDENT
Phone
(701) 792-2947

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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