Individual
MR. TIMOTHY LEE ULLEDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1833 EAST BISMARCK EXPRESSWAY, BISMARCK, ND 58554
(701) 323-5222
(701) 323-5867
Mailing address
1833 E BISMARCK EXPY, BISMARCK, ND 58504-6708
(701) 323-5222
(701) 323-5867
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0900
ND
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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