Individual
BRIANNA NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12377 69TH ST SE, LISBON, ND 58054-9614
(701) 680-7611
Mailing address
12377 69TH ST SE, LISBON, ND 58054-9614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2940
ND
Other
Enumeration date
09/03/2025
Last updated
10/01/2025
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