Individual
PAUL MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
801 BROADWAY N., FARGO, ND 58122
(701) 234-5799
(701) 234-7451
Mailing address
801 BROADWAY N., FARGO, ND 58122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1847
ND
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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