Individual
JOEL BOGENREIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 13TH AVE W, WEST FARGO, ND 58078-2646
(701) 478-6000
Mailing address
125 13TH AVE W, WEST FARGO, ND 58078-2646
(701) 478-6000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1068
ND
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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