Individual
JORDAN S BJORHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1040 LINCOLN AVE, DETROIT LAKES, MN 56501-3508
(218) 847-5611
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8983
MN
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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