Individual
MIRANDA MEDUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
310 N 9TH ST, BISMARCK, ND 58501-4515
(701) 530-8744
(701) 530-8772
Mailing address
310 N 9TH ST, BISMARCK, ND 58501-4515
(701) 946-7500
(701) 751-4550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1623
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623
ND PHYSICAL THERAPIST LICENSE
ND
Enumeration date
10/01/2014
Last updated
01/19/2026
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