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Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1831232115- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1415 W DAKOTA PKWY, WILLISTON, ND, 588013885
- Phone
- (701) 572-6757
- Fax
- (701) 774-3532
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: ND #669