Individual
DR. WYATT BRADLEY AMDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
226 WESTERGARD RD, BOTTINEAU, ND 58318-8058
(218) 240-4927
Mailing address
226 WESTERGARD RD, BOTTINEAU, ND 58318-8058
(218) 240-4927
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CA
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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