Organization
PROFESSIONAL REHABILITATION CENTER
Active
Organization
PROFESSIONAL REHABILITATION CENTER
Active
Other names
Prorehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
TOM BAUMGARTNER (OWNER/ PRESIDENT)
(701) 451-9417
Entity
Organization
Contact information
Practice address
3105 BROADWAY N, SUITE 7, FARGO, ND 58102-1454
(701) 451-9417
Mailing address
1711 GOLD DR S, SUITE 120, FARGO, ND 58103-6416
(701) 451-9417
(701) 298-0066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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