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Individual

MISS AMANDA CAROLINE OSTLIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1809 5TH AVE N, GRAND FORKS, ND 58203
(701) 330-2968
Mailing address
1809 5TH AVE N, GRAND FORKS, ND 58203
(701) 330-2968

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
05/18/2007
Last updated
07/08/2007
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