Individual
AMBER WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-8200
Mailing address
807 LINCOLN AVE, BISMARCK, ND 58504-5323
(701) 527-0963
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1701
ND
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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