Individual
WAYNE EUGENE ENGELHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
905 MAIN ST, LISBON, ND 58054-4334
(701) 683-6458
Mailing address
435 5TH AVE NW, VALLEY CITY, ND 58072-2821
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11624
MN
225100000X
Physical Therapist
1998
SD
225100000X
Physical Therapist
Primary
2358
ND
Other
Enumeration date
06/15/2017
Last updated
12/26/2019
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