Organization
MY PT, PLLC
Active
Organization
MY PT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BROWN (OWNER)
(701) 367-2495
Entity
Organization
Contact information
Practice address
1800 21ST AVE S, FARGO, ND 58103-5759
(701) 367-2495
Mailing address
4132 S RIVERSHORE DR, MOORHEAD, MN 56560-5627
(701) 367-2495
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1472
ND
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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