Organization
AT-HOME PHYSICAL THERAPY, PC
Active
Other names
Rehab4Life Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER JOSEPH STROH PT (PRESIDENT/THERAPIST)
(701) 293-7294
Entity
Organization
Contact information
Practice address
4674 40TH AVE S, SUITE A, FARGO, ND 58104-4500
(701) 293-7294
(701) 282-9738
Mailing address
4674 40TH AVE S, SUITE A, FARGO, ND 58104-4500
(701) 293-7294
(701) 282-9738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5789
MN
225100000X
Physical Therapist
Primary
962
ND
225X00000X
Occupational Therapist
100824
MN
225X00000X
Occupational Therapist
489
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025172
MEDICA
ND
01
—
06456001
BCBS OF NORTH DAKOTA
ND
Enumeration date
07/27/2006
Last updated
04/21/2017
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