Organization
LIVING LIFE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESSA BROCK PT (PHYSICAL THERAPIST/ OWNER)
(701) 720-6354
Entity
Organization
Contact information
Practice address
2311 ELK DR, MINOT, ND 58701-5633
(701) 720-6354
(701) 839-4076
Mailing address
1720 SUNDOWN DR, MINOT, ND 58701-8134
(701) 720-6354
(701) 839-4076
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2019
Last updated
07/02/2019
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