Individual
BETH NORDMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1015 S BROADWAY, MINOT, ND 58701-4667
(701) 857-5105
(701) 857-5646
Mailing address
441 102ND ST NW, SOURIS, ND 58783-9521
(701) 295-2360
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1441
ND
Other
Enumeration date
03/31/2014
Last updated
10/29/2014
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