Individual
ASHLEY JOHNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4255 30TH AVE S, FARGO, ND 58104-8427
(701) 478-8950
(701) 478-8920
Mailing address
4255 30TH AVE S, FARGO, ND 58104-8427
(701) 478-8950
(701) 478-8920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1503
ND
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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