Individual
MRS. CAROLINE MAE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PTA
Contact information
Practice address
1 BURDICK EXPY W, MINOT, ND 58701-4406
(701) 338-2984
Mailing address
3564 HIGHWAY 41, VELVA, ND 58790-9172
(701) 338-2984
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0872
ND
2255A2300X
Athletic Trainer
076-90
ND
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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