Individual
DIANA PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1720 UNIVERSITY DRIVE SOUTH, FARGO, ND 58122
(701) 280-4088
Mailing address
1720 UNIVERSITY DRIVE SOUTH, FARGO, ND 58122
(701) 280-4088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1861
ND
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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