Individual
MEREDITH MARTHA PREVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-7918
Mailing address
1601 40TH AVE S, FARGO, ND 58104-6303
(701) 317-3241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2546
ND
Other
Enumeration date
12/10/2021
Last updated
03/01/2024
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