Individual
DR. JENNA MARIE BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
16 S MAIN ST STE A, LAMOURE, ND 58458-7412
(701) 883-5611
Mailing address
16 S MAIN ST, LAMOURE, ND 58458-7412
(701) 883-5611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1668
SD
225100000X
Physical Therapist
Primary
1949
ND
225100000X
Physical Therapist
60161010
WA
Other
Enumeration date
08/02/2010
Last updated
09/09/2021
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