Kirsten Slominski, MOT, OTR/L

Individual provider Active NPI Occupational Therapist · Cavalier, ND

NPI 1114239084 · NPPES record last updated Mar 11, 2015

Key facts

NPI
1114239084
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
1209 (ND)
Practice address
106 Division Ave N
Suite B
Cavalier, ND 58220-4408
Phone
(701) 265-8080
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4624AZMDOccupational Therapist
104172MNMDOccupational Therapist
1209NDMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4624 AZ
Occupational Therapist 225X00000X 1209 ND Yes
Occupational Therapist 225X00000X 104172 MN

Addresses

Primary practice location

106 Division Ave N
Suite B
Cavalier, ND 58220-4408

Mailing address

1806 2ND Ave N
Grand Forks, ND 58203-3308
Phone (218) 791-3819

Other providers in Cavalier, ND

All providers in Cavalier, ND · Occupational Therapist in North Dakota

Sources for this page

Verify at the official NPI Registry.