Individual
BRIDGET ANN JUHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4450 31ST AVE S STE 104, FARGO, ND 58104-4557
(701) 451-9417
Mailing address
3101 49TH ST S APT 105, FARGO, ND 58104-4528
(320) 522-2262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11326
MN
225100000X
Physical Therapist
Primary
2167
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11326
MN STATE PHYSICAL THERAPY LICENSE NUMBER
MN
01
—
2167
PHYSICAL THERAPY LICENSE
ND
Enumeration date
10/11/2018
Last updated
01/04/2022
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