IndividualActive
Mary Buettner, OTRL
NPI 1669522520 · Pediatric Occupational Therapist · Fargo, ND
Provider details
- NPI number
- 1669522520
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTRL
- Sex
- Female
- Sole proprietor
- No
- License
- 771 (ND)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
921 43rd Ave N
Fargo, ND 58102-5320
Phone: (701) 793-3646
Fax: (701) 293-6892
Approximate (ZIP-level) locationGet directions
Mailing address
2511 25th St S
Fargo, ND 58103-5009
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.