Individual
MARIA RUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4088
Mailing address
2908 38 1/2 AVE S, FARGO, ND 58104-7006
(701) 729-7455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5276
MN
225100000X
Physical Therapist
Primary
943
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26848
ND BCBS PROVIDER #
ND
Enumeration date
08/08/2006
Last updated
11/03/2014
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