Individual
LON KRATOCHVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
164 W 13TH ST, GRAFTON, ND 58237-1826
(701) 352-9398
(701) 352-9382
Mailing address
164 W 13TH ST, GRAFTON, ND 58237-1826
(701) 352-9398
(701) 352-9382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0678
ND
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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