Organization
OPTIMUM THERAPIES OF NORTH DAKOTA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN KUDRNA DPT, OCS (PRESIDENT)
(701) 590-0316
Entity
Organization
Contact information
Practice address
1040 CANADA AVE STE 1, BISMARCK, ND 58503-1813
(751) 751-3064
(701) 751-2265
Mailing address
1040 CANADA AVE STE 1, BISMARCK, ND 58503-1813
(715) 855-0430
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2031
ND
261QP2000X
Physical Therapy Clinic/Center
Primary
2031
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2031
NORTH DAKOTA BOARD OF PHYSICAL THERAPY
ND
Enumeration date
01/25/2017
Last updated
12/18/2024
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