Individual
MRS. SIERRA NICOLE GRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
600 MAIN ST S, MINOT, ND 58701-4499
(701) 837-3816
Mailing address
600 MAIN ST S, MINOT, ND 58701-4499
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2017036517
MO
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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