Individual
TYLER DAHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-7165
Mailing address
2838 1ST ST N, FARGO, ND 58102-1602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1857
ND
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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