Individual
VICTORIA LERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3744
(701) 239-3721
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3744
(701) 239-3721
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1093
ND
Other
Enumeration date
05/18/2006
Last updated
08/14/2007
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