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Individual

DALLAS EHRMANTRAUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8700
Mailing address
606 38TH AVE E, WEST FARGO, ND 58078-5443
(218) 639-8191

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2359
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2359
ND
Enumeration date
11/19/2021
Last updated
11/19/2021
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