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Individual

TERI J BREKKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
1401 13TH AVE E, WEST FARGO, ND 58078-3468
(701) 364-5751
(701) 364-5750
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-5751
(701) 364-5750

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1162
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
51096
ND
01
6436
MN LIC #
MN
01
HP62323
HEALTHPARTNERS #
ND
Enumeration date
05/19/2006
Last updated
04/25/2012
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