Organization
MYNA THERAPY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE DOERFLER (AUTHORIZED OFFICIAL)
(701) 347-1782
Entity
Organization
Contact information
Practice address
4575 23RD AVE S STE 500, FARGO, ND 58104-8784
(701) 347-1782
(701) 404-8274
Mailing address
4575 23RD AVE S STE 500, FARGO, ND 58104-8784
(701) 347-1782
(701) 404-8274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
09/19/2024
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