Individual
GAIL LORRAINE SOLLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
415 4TH ST N, FARGO, ND 58102-4514
(701) 446-1000
Mailing address
78 N WOODCREST DR N, FARGO, ND 58102-2151
(701) 280-9347
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0258
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58999
—
ND
Enumeration date
03/04/2008
Last updated
03/04/2008
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