Individual
MRS. DIANA L BILLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1302 1ST ST NE, MANDAN, ND 58554-3784
(701) 663-0480
(701) 663-9046
Mailing address
1302 1ST ST NE, MANDAN, ND 58554-3784
(701) 663-0480
(701) 663-9046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1268
ND
Other
Enumeration date
01/26/2007
Last updated
10/26/2007
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