Individual
MR. GRANT JUDAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
30 7TH ST W, DICKINSON, ND 58601-4335
(701) 456-4000
(701) 456-4387
Mailing address
PO BOX 829, 2584 6TH AVE W, DICKINSON, ND 58602-0829
(701) 220-4075
(701) 456-4805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1434
ND
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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