Provider Demographics
NPI:1114239084
Name:SLOMINSKI, KIRSTEN (MOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:SLOMINSKI
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1806 2ND AVE N
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58203-3308
Mailing Address - Country:US
Mailing Address - Phone:218-791-3819
Mailing Address - Fax:
Practice Address - Street 1:106 DIVISION AVE N
Practice Address - Street 2:SUITE B
Practice Address - City:CAVALIER
Practice Address - State:ND
Practice Address - Zip Code:58220-4408
Practice Address - Country:US
Practice Address - Phone:701-265-8080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4624225X00000X
ND1209225X00000X
MN104172225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist