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NPI Code Detail

MEDICARE: KATELYNN GLUR

MEDICARE: KATELYNN GLUR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant1383ND

General Provider Information

NPI Number : 1033582598
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYNN GLUR
Provider Business Mailing Address
First Line : 4806 W ROUGHRIDER CIR
Second Line :
City : MANDAN
State : ND
Zip : 58554-1041
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 128 SOO LINE DR
Second Line :
City : BISMARCK
State : ND
Zip : 58501-3339
Country : US
Telephone Number : 701-323-4054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2015
Last Update Date : 02/03/2025

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Directions to “ KATELYNN GLUR ” Practice Location

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