Individual
NICHOLAS T ALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4572 COUNTY ROAD 61, MOOSE LAKE, MN 55767-9401
(218) 485-4481
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10714
MN
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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