Most Relevant Information
Provider Data
NPI Number: | 1003574567 |
Provider Name: | ASHLEY DWIRE |
Entity Type: | Individual |
Taxonomy Code: | 225X00000X |
Specialty: | Occupational Therapist |
License Number: | 1134 |
Most Important Dates
Enumeration Date: | 12/02/2021 |
Last Updated: | 03/14/2022 |
Provider Practice Location
700 N MONROE ST
MINNEOTA
MN
562649237
Practice Location Phone/Fax
Phone: | 5078725308 |
Fax: |
Provider Mailing Location
500 CROSS ST
BIG STONE CITY
SD
572168237
Provider Mailing Phone/Fax
Phone: | 6055411147 |
Fax: | 6055410109 |