Organization
EMBRACE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEG VIELE (BILLING SPECIALIST)
(701) 951-9029
Entity
Organization
Contact information
Practice address
4342 15TH AVE S STE 105, FARGO, ND 58103-1125
(701) 936-9495
(952) 222-1994
Mailing address
4342 15TH AVE S STE 105, FARGO, ND 58103-1125
(701) 936-9495
(952) 222-1994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1478299
—
ND
Enumeration date
06/27/2019
Last updated
07/17/2023
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