Individual
DESIREE N. WILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
911 W INTERSTATE AVE STE 12, BISMARCK, ND 58503-0955
(701) 223-8717
(701) 255-3957
Mailing address
911 W INTERSTATE AVE STE 12, BISMARCK, ND 58503-0955
(701) 223-8717
(701) 255-3957
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2098
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT2098
PT LICENSE
ND
Enumeration date
07/28/2017
Last updated
07/21/2022
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