Organization
ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC
Active
Organization
ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWN MARIE KRAUSE-ROBERTS PT, MPT, ATC (PRESIDENT)
(218) 641-7725
Entity
Organization
Contact information
Practice address
5475 51ST AVE S, FARGO, ND 58104-6014
(701) 403-9322
(218) 641-6625
Mailing address
430 5TH ST N, BRECKENRIDGE, MN 56520-1426
(218) 641-7725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1180
ND
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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