Individual
LAURA BETH MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4420 37TH AVE S, FARGO, ND 58104-3400
(701) 365-4771
(701) 365-8134
Mailing address
2965 E TARPON DR STE 150, MERIDIAN, ID 83642-9007
(701) 365-4771
(701) 365-8134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1997
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-1997
STATE LICENSE
ND
Enumeration date
08/09/2018
Last updated
08/09/2018
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