Individual
NICOLE MARIE KASHMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 S MABELLE AVE, FERGUS FALLS, MN 56537-3723
(218) 998-1505
Mailing address
705 15TH ST N, MOORHEAD, MN 56560-2161
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11325
MN
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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