Individual
CONSTANCE MARGARET FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 NORTH MAIN STREET, PARK RAPIDS, MN 56470
(218) 732-7266
(218) 732-0136
Mailing address
29081 US 71, PARK RAPIDS, MN 56470
(218) 732-0043
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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