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Individual

JAN L WEATHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT;DPT

Contact information

Practice address
309 2ND ST E, BOTTINEAU, ND 58318-1104
(701) 228-3743
Mailing address
309 2ND ST E, BOTTINEAU, ND 58318-1104
(701) 228-3743

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1894
ND

Other

Enumeration date
07/04/2015
Last updated
09/19/2024
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