Organization
GENUINE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY MARTIN DPT (OWNER)
(303) 917-5496
Entity
Organization
Contact information
Practice address
1251 1ST ST S STE 4, DICKINSON, ND 58601-4663
(303) 917-5496
Mailing address
5097 99TH AVE SW, LEFOR, ND 58641-9211
(303) 917-5496
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464697
—
ND
Enumeration date
03/24/2021
Last updated
03/25/2021
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