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Cassandra Jae Broten, MSOT, OTR/L

Occupational Therapist in Minot, ND. Individual provider (NPI-1).

NPI number1992233258
StatusActive
Last updated in NPPESMay 31, 2017

Details

NPI
1992233258
Entity type
Individual (NPI-1)
Name
Miss Cassandra Jae Broten
Credential
MSOT, OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
May 31, 2017
Last updated
May 31, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist1198NDYes

Practice location

420 3rd St Se
Minot, ND 58701-4410

Phone 701-857-2719

Mailing address

1410 30th Ave Nw Apt 1208
Minot, ND 58703-5073

Phone 701-720-1468

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