Individual
JENNIFER WHIDDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1300 S COLUMBIA RD, GRAND FORKS, ND 58201
(701) 780-5000
(701) 780-4477
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
(701) 780-4477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
A2042
ND
225100000X
Physical Therapist
PTL.0015336
CO
Other
Enumeration date
12/27/2017
Last updated
06/21/2018
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