Organization
BEWELL PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE TEIGEN (OWNER)
(701) 361-4929
Entity
Organization
Contact information
Practice address
534 MAIN ST N UNIT B, HORACE, ND 58047-4640
(701) 361-4984
Mailing address
534 MAIN ST N UNIT B, HORACE, ND 58047-4640
(701) 361-4984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184027534
—
ND
Enumeration date
02/10/2021
Last updated
03/04/2021
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