Individual
TAYLOR DOEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1929 33RD ST S, MOORHEAD, MN 56560-3951
(701) 429-3459
Mailing address
1929 33RD ST S, MOORHEAD, MN 56560-3951
(701) 429-3459
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
11505
MN
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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