IndividualActive
Kayla Dease, COTA
NPI 1114565207 · Occupational Therapy Assistant · Fargo, ND
Provider details
- NPI number
- 1114565207
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3401 45th St S
Fargo, ND 58104-8970
Phone: (701) 356-4384
Fax: (701) 356-4383
Approximate (ZIP-level) locationGet directions
Mailing address
3401 45th St S
Fargo, ND 58104-8970
Additional practice locations (1)
- 3060 Frontier Way SFargo, ND 58104-8909Phone: (701) 232-2340Fax: (701) 232-2330
Registry dates
- Enumerated
- 2019-12-19
- Last updated
- 2019-12-19
- Certified
- 2019-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.