Individual
GRANT DAVID BRENDEMUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2503
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Enumeration date
12/17/2018
Last updated
06/20/2022
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