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Organization

BIG STONE THERAPIES FARGO, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGIE ACKERMAN (ADMINISTRATOR)
(605) 541-1144
Entity
Organization

Contact information

Practice address
2829 UNIVERSITY DR S, STE 202, FARGO, ND 58103-6050
(701) 478-0307
(701) 478-0309
Mailing address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1140
(605) 541-0109

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
261QH0700X
Hearing and Speech Clinic/Center
261QP2000X
Physical Therapy Clinic/Center
Primary
261QX0100X
Occupational Medicine Clinic/Center

Other

Enumeration date
01/28/2011
Last updated
06/16/2022
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