Individual
EMILY HENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3362 15TH AVE NE, ARVILLA, ND 58214-9410
(701) 270-0265
Mailing address
3362 15TH AVE NE, ARVILLA, ND 58214-9410
(701) 270-0265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1699
ND
2251G0304X
Geriatric Physical Therapist
1699
ND
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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