Organization
HOMESTEAD PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORDAE HAYDEN DPT (OWNER AND PHYSICAL THERAPIST)
(701) 580-1267
Entity
Organization
Contact information
Practice address
105 9TH AVE SE, SUITE 2, WATFORD CITY, ND 58854
(701) 842-4424
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
03/01/2023
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