Individual
WESTON WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1000 S COLUMBIA RD, GRAND FORKS, ND 58201-4032
(701) 780-5000
Mailing address
PO BOX 13780, GRAND FORKS, ND 58208-3780
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1727
ND
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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