IndividualActive
Brooke Tayer, COTA/L
NPI 1740797471 · Occupational Therapy Assistant · Fargo, ND
Provider details
- NPI number
- 1740797471
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 1590 (ND)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1305 9th Ave S
Fargo, ND 58103
Phone: (701) 446-3170
Approximate (ZIP-level) locationGet directions
Mailing address
1305 9th Ave S
Fargo, ND 58103-2501
Registry dates
- Enumerated
- 2018-01-03
- Last updated
- 2025-10-17
- Certified
- 2025-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.