Individual
MELINDA T GREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2301 25TH ST S, SUITE A, FARGO, ND 58103-6104
(701) 280-2212
(701) 271-1023
Mailing address
3302 LAKESIDE VIEW DR, FALLS CHURCH, VA 22041-2445
(701) 866-4153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1533
ND
Other
Enumeration date
06/01/2009
Last updated
06/17/2020
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