Individual
SAVANNA LYNNERAE BUSKNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4671 38TH ST S, FARGO, ND 58104-7866
(701) 404-5100
Mailing address
590 8TH AVE N, CARRINGTON, ND 58421-1238
(701) 653-5652
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1293A
ND
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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