Individual
JESSICA GUNDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 4TH ST S, FARGO, ND 58103-1929
(218) 846-2000
Mailing address
817 60TH AVE W, WEST FARGO, ND 58078-2870
(701) 412-8164
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
03/06/2023
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