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NPI 1073994984ActiveOrganization· Occupational Therapist· Fargo, ND

Occupational Therapist in Fargo, North Dakota, registered in NPPES in June 2015. The authorized official on file is Sue Karlstrom, Accounting/Human Resources Benefits. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1073994984
StatusActive
Entity typeOrganization
NPI issuedJun 16, 2015
Last updated in NPPESJun 16, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Occupational Therapist Primary225X00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (ND)

Medicare sources and data years

Other Occupational Therapist providers in Fargo

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