Most Relevant Information
Provider Data
| NPI Number: | 1003014499 |
| Provider Name: | HEATHER ANN THIBERT OTRL |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 707 |
Most Important Dates
| Enumeration Date: | 07/06/2007 |
| Last Updated: | 12/31/2018 |
Provider Practice Location
1300 S COLUMBIA RD
GRAND FORKS
ND
58201
Practice Location Phone/Fax
| Phone: | 7017812300 |
| Fax: | 7017801942 |
Provider Mailing Location
2401 DEMERS AVE
GRAND FORKS
ND
58201
Provider Mailing Phone/Fax
| Phone: | 7017811891 |
| Fax: | 7017801942 |