Individual
LISA FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
510 8TH AVE NE, HAZEN, ND 58545-4637
(701) 748-7276
Mailing address
510 8TH AVE NE, HAZEN, ND 58545-4637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1979
ND
Other
Enumeration date
08/05/2016
Last updated
11/05/2018
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