Individual
CARISSA KRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-8833
(701) 530-8842
Mailing address
900 E BROADWAY AVE, PO BOX 5510, BISMARCK, ND 58501-4520
(701) 530-8833
(701) 530-8842
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1497
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497
LICENSE
ND
Enumeration date
11/24/2009
Last updated
11/24/2009
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