Provider Demographics
NPI:1588602551
Name:MOLSTAD, APRYL J (MOTR/L)
Entity Type:Individual
Prefix:
First Name:APRYL
Middle Name:J
Last Name:MOLSTAD
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3598 MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-3916
Mailing Address - Country:US
Mailing Address - Phone:701-772-7040
Mailing Address - Fax:
Practice Address - Street 1:2951 S 34TH ST
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-6061
Practice Address - Country:US
Practice Address - Phone:701-772-3851
Practice Address - Fax:701-772-3852
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND903225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND51030Medicaid