Individual
JESSICA FOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
101 3RD AVE SW, MINOT, ND 58701-3880
(701) 857-5286
(701) 857-5694
Mailing address
1015 S BROADWAY, MINOT, ND 58701-4667
(701) 857-5105
(701) 857-5646
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2036
ND
Other
Enumeration date
09/17/2015
Last updated
09/18/2017
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