Individual
ANTHONY NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
(701) 723-5095
Mailing address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
099165
IA
Other
Enumeration date
01/15/2020
Last updated
04/05/2024
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